Provider Demographics
NPI:1053573642
Name:BOGOJE, KASEY MARIE (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:MARIE
Last Name:BOGOJE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:KASEY
Other - Middle Name:MARIE
Other - Last Name:REMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:21125 CENTRE POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2994
Mailing Address - Country:US
Mailing Address - Phone:661-839-9554
Mailing Address - Fax:
Practice Address - Street 1:25350 MAGIC MOUNTAIN PKWY STE 300
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1356
Practice Address - Country:US
Practice Address - Phone:661-839-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50070106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist