Individual
MARY BRESEE SEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7402 YORK RD, SUITE 201, TOWSON, MD 21204-7532
(410) 254-1458
(410) 823-7405
Mailing address
7402 YORK RD, SUITE 201, TOWSON, MD 21204-7532
(410) 254-1458
(410) 823-7405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCO714
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64529301
CAREFIRST BLUE CROSS
MD
01
—
M499
CAREFIRST
MD
Enumeration date
05/17/2007
Last updated
07/08/2007
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