Provider Demographics
NPI:1205021680
Name:BEERS, CASSANDRA TYSON (LMFT)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:TYSON
Last Name:BEERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:LYNN
Other - Last Name:TYSON-BEERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:317 GOODPASTURE ISLAND RD STE D
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-9724
Mailing Address - Country:US
Mailing Address - Phone:541-799-4622
Mailing Address - Fax:
Practice Address - Street 1:317 GOODPASTURE ISLAND RD STE D
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-9724
Practice Address - Country:US
Practice Address - Phone:541-799-4622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR106H00000X
ORT0800106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist