Healthcare Provider Details

I. General information

NPI: 1306779368
Provider Name (Legal Business Name): VALERIE K. SEAGLE, MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 SOAVE LN
SALIDA CA
95368-9407
US

IV. Provider business mailing address

PO BOX 95
SALIDA CA
95368-0095
US

V. Phone/Fax

Practice location:
  • Phone: 209-613-6101
  • Fax:
Mailing address:
  • Phone: 209-613-6101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: VALERIE KRISTINE SEAGLE
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 209-613-6101