| Doctor Name: | MR. JOHN FARRELL CASSIN |
| NPI Number: | 1659749281 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LADC |
| License Number: | 103675 |
| Business Practice Address: | 44 School Street Ext Bellows Falls, VT - 051011478 |
| Business Phone Number: | 8024639927 |
| Business Fax Number: | |
| Mailing Address: | 604 N Hill Rd, ANDOVER |
| State: | VT |
| Postal Code: | 051439027 |
| Phone Number: | 8022893403 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 103675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |