Individual
ANDREW E. SEGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LCMHC
Contact information
Practice address
22 PINNACLE RDG, UNDERHILL, VT 05489-4411
(318) 523-0523
Mailing address
22 PINNACLE RDG, UNDERHILL, VT 05489-4411
(973) 980-5123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
068.0134602
VT
101Y00000X
Counselor
37PC00611600
NJ
101YM0800X
Mental Health Counselor
068.0134602
VT
101YM0800X
Mental Health Counselor
37PC00611600
NJ
101YP2500X
Professional Counselor
068.0134602
VT
101YP2500X
Professional Counselor
Primary
37PC00611600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY PROVIDER NUMBER
NJ
01
—
527486
AGENCY PROVIDER NUMBER
NJ
01
—
7794703
AGENCY PROVIDER NUMBER FOR PROGRAM
NJ
Enumeration date
09/21/2010
Last updated
11/28/2023
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