MEDICARE: SEAN SEELEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	86423	CA

General Provider Information

NPI Number	:	1821478454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN SEELEY LMFT

Provider Business Mailing Address
First Line	:	PO BOX 2664
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92263-2664
Country	:	US
Telephone Number	:	714-336-2983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 E TAHQUITZ CANYON WAY STE 202
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-6995
Country	:	US
Telephone Number	:	760-776-3898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	07/08/2024

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Directions to “ SEAN SEELEY LMFT” Practice Location

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