Healthcare Provider Details

I. General information

NPI: 1942164595
Provider Name (Legal Business Name): VERONICA SESKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 NW 114TH ST
CLIVE IA
50325-7039
US

IV. Provider business mailing address

500 SE 14TH ST
GRIMES IA
50111-2310
US

V. Phone/Fax

Practice location:
  • Phone: 515-553-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number134966
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: