Provider Demographics
NPI:1669491635
Name:KASSEL, STEVEN CARY (MFT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CARY
Last Name:KASSEL
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23560 LYONS AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5726
Mailing Address - Country:US
Mailing Address - Phone:661-259-3704
Mailing Address - Fax:
Practice Address - Street 1:26266 PRIMA WAY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-8554
Practice Address - Country:US
Practice Address - Phone:661-259-3704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT28511106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist