Healthcare Provider Details

I. General information

NPI: 1538533401
Provider Name (Legal Business Name): CHRISTIE L SELIGMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 29TH ST NE STE F
PUYALLUP WA
98372-7050
US

IV. Provider business mailing address

413 29TH ST NE STE F
PUYALLUP WA
98372-7050
US

V. Phone/Fax

Practice location:
  • Phone: 253-234-7931
  • Fax: 253-565-5823
Mailing address:
  • Phone: 253-234-7931
  • Fax: 253-323-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60605598
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: