Healthcare Provider Details

I. General information

NPI: 1962637363
Provider Name (Legal Business Name): CASANDRA MCGEE MFT, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 GRAVENSTEIN HWY N # 259
SEBASTOPOL CA
95472-2808
US

IV. Provider business mailing address

708 HWY 116 N # 259
SEBASTOPOL CA
95472-2808
US

V. Phone/Fax

Practice location:
  • Phone: 415-944-7582
  • Fax:
Mailing address:
  • Phone: 415-944-7582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number82564
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: