Individual
BLAIR BRENNA SEELINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED., LPCA, LMFTA
Contact information
Practice address
848 N TAYLOR ST, WAKE FOREST, NC 27587-2239
(443) 880-5513
Mailing address
848 N TAYLOR ST, WAKE FOREST, NC 27587-2239
(443) 880-5513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11939
NC
106H00000X
Marriage & Family Therapist
11039A
NC
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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