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NPI Code Detail

MEDICARE: JESENIA MARIE SEIFF

MEDICARE: JESENIA MARIE SEIFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1033546809
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESENIA MARIE SEIFF
Provider Business Mailing Address
First Line : 1413 KNOLLCREST DR
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5879
Country : US
Telephone Number : 661-645-2805
Fax Number :
Provider Business Practice Location Address
First Line : 2150 RIVER PLAZA DR STE 410
Second Line :
City : SACRAMENTO
State : CA
Zip : 95833-4140
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2013
Last Update Date : 06/09/2020

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