Provider Demographics
NPI:1780336743
Name:VAN DE GRAAF, CASSIDY ROBINSON (LPC, NCC, CCTSI)
Entity type:Individual
Prefix:MRS
First Name:CASSIDY
Middle Name:ROBINSON
Last Name:VAN DE GRAAF
Suffix:
Gender:F
Credentials:LPC, NCC, CCTSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 STAPLES MILL RD # 244
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4122
Mailing Address - Country:US
Mailing Address - Phone:804-223-2160
Mailing Address - Fax:804-655-5524
Practice Address - Street 1:7330 STAPLES MILL RD # 244
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-4122
Practice Address - Country:US
Practice Address - Phone:804-223-2160
Practice Address - Fax:804-655-5524
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health