Provider Demographics
NPI:1255796868
Name:SENTERS, KASEE (BA, CADC II)
Entity type:Individual
Prefix:
First Name:KASEE
Middle Name:
Last Name:SENTERS
Suffix:
Gender:F
Credentials:BA, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33144 WHETHAM WAY
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-9525
Mailing Address - Country:US
Mailing Address - Phone:458-210-0027
Mailing Address - Fax:
Practice Address - Street 1:1245 BIRCH AVE
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-1413
Practice Address - Country:US
Practice Address - Phone:541-767-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-24
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5006125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health