Provider Demographics
NPI:1194239715
Name:HAMRICK, CASSANDRA (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:HAMRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LCMHC
Mailing Address - Street 1:2003 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1109
Mailing Address - Country:US
Mailing Address - Phone:919-335-3447
Mailing Address - Fax:
Practice Address - Street 1:2003 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1109
Practice Address - Country:US
Practice Address - Phone:919-335-3447
Practice Address - Fax:919-887-2746
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13404101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health