Healthcare Provider Details

I. General information

NPI: 1164906509
Provider Name (Legal Business Name): JULIE SEDDON CABELL LMFTA, CDP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 CARDENAS DR SE APT 445
ALBUQUERQUE NM
87108-1565
US

IV. Provider business mailing address

1177 CARDENAS DR SE APT 445
ALBUQUERQUE NM
87108-1565
US

V. Phone/Fax

Practice location:
  • Phone: 206-672-5591
  • Fax: 206-761-0076
Mailing address:
  • Phone: 206-672-5591
  • Fax: 206-761-0076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMG60736871
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: