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General NPI Number Information
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NPI Number | 1447333208
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Entity Type | Individual
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Provider Name | KAREN GAIL SELIG L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1100 S PONCE DE LEON BLVD STE 1
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-6013
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Country | US
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Telephone | 904-824-7733
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Fax | 904-829-9768
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Provider Business Mailing Address
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Address Line | 1100 S PONCE DE LEON BLVD STE 1
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-6013
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Country | US
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Telephone | 904-824-7733
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Fax | 904-829-9768
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MT128
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT128
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License Number State | FL
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