Provider Demographics
NPI:1659167138
Name:SASNER, CASEY CROSSIN (LMFT)
Entity type:Individual
Prefix:MS
First Name:CASEY
Middle Name:CROSSIN
Last Name:SASNER
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 READ DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5616
Mailing Address - Country:US
Mailing Address - Phone:925-324-3688
Mailing Address - Fax:
Practice Address - Street 1:936 DEWING AVE BLDG 1
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4290
Practice Address - Country:US
Practice Address - Phone:925-324-3688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153881106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist