Healthcare Provider Details

I. General information

NPI: 1710305404
Provider Name (Legal Business Name): MORAYA SEEGER DEGEARE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORAYA SEEGER JACKSON

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 HENRY ST
BEACON NY
12508-3006
US

IV. Provider business mailing address

33 HENRY ST
BEACON NY
12508-3006
US

V. Phone/Fax

Practice location:
  • Phone: 845-235-5686
  • Fax:
Mailing address:
  • Phone: 845-235-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number20491
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2891
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number001569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: