Healthcare Provider Details

I. General information

NPI: 1902751969
Provider Name (Legal Business Name): EMILY SIELAFF MA,APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 YOSEMITE AVE STE 230
SIMI VALLEY CA
93063-5200
US

IV. Provider business mailing address

225 FRASER PT APT 307
CAMARILLO CA
93012-8996
US

V. Phone/Fax

Practice location:
  • Phone: 805-876-4616
  • Fax:
Mailing address:
  • Phone: 714-749-4259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC21716
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: