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General NPI Number Information
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NPI Number | 1366323057
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Entity Type | Organization
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Legal Business Name | SEILER CREEK THERAPY LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 515 LEXINGTON PKWY S APT 504
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City | SAINT PAUL
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State | MN
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Zip | 55116-1743
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Country | US
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Telephone | 612-440-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 515 LEXINGTON PKWY S APT 504
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City | SAINT PAUL
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State | MN
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Zip | 55116-1743
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Country | US
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Telephone | 612-440-8299
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Fax |
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Authorized Official
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Title or Position | CO-ORGANIZER
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Name | JESSICA FRANCES PENDAL
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Credential | LPCC
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Telephone | 612-321-6587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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