Individual
MARY KIRSTEN KASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10717 CAMINO RUIZ STE 207, SAN DIEGO, CA 92126-2364
(619) 523-8121
Mailing address
10717 CAMINO RUIZ STE 207, SAN DIEGO, CA 92126-2364
(858) 695-2211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14211
CA
101YP2500X
Professional Counselor
Primary
APCC14211
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373741
—
CA
Enumeration date
01/04/2021
Last updated
07/25/2025
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