Provider Demographics
NPI:1033465448
Name:MAGEE, CASSY MARIE
Entity Type:Individual
Prefix:MS
First Name:CASSY
Middle Name:MARIE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41690 ENTERPRISE CIR N STE 205
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5627
Mailing Address - Country:US
Mailing Address - Phone:951-290-7396
Mailing Address - Fax:
Practice Address - Street 1:41690 ENTERPRISE CIR N STE 205201
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5616
Practice Address - Country:US
Practice Address - Phone:951-290-7396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist