Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Cassondra Breann Martin, CRADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629877691

Mrs. Cassondra Breann Martin, CRADC is an Addiction (Substance Use Disorder) Counselor in Boonville, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

1415 W Ashley Rd
Boonville, MO 65233-2111
Phone: (660) 882-6547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13659 (MO)

Record details

NPI number1629877691
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRADC
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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