Provider Demographics
NPI:1134518954
Name:LETTENBERGER-KLEIN, CASSANDRA G (LMFT)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:G
Last Name:LETTENBERGER-KLEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 AMBERTON CT
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1896
Mailing Address - Country:US
Mailing Address - Phone:847-867-6955
Mailing Address - Fax:
Practice Address - Street 1:1075 ZONOLITE RD NE
Practice Address - Street 2:1A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-2013
Practice Address - Country:US
Practice Address - Phone:404-478-9890
Practice Address - Fax:404-963-0975
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001382106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist