Provider Demographics
NPI:1063769974
Name:JAMES, CASHANA ADRIAN (MS)
Entity type:Individual
Prefix:MRS
First Name:CASHANA
Middle Name:ADRIAN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 PELICAN BAY DR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32119-9700
Mailing Address - Country:US
Mailing Address - Phone:386-588-9768
Mailing Address - Fax:386-868-1978
Practice Address - Street 1:1060 PELICAN BAY DRIVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32119-9700
Practice Address - Country:US
Practice Address - Phone:386-588-9768
Practice Address - Fax:386-868-1978
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1063769974Medicaid