Organization
GAYLE SEELY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE SEELY LLC (OWNER)
(517) 437-0309
Entity
Organization
Contact information
Practice address
101 E BACON ST, SUITE 201, HILLSDALE, MI 49242-1666
(517) 437-0309
(517) 437-0309
Mailing address
PO BOX 187, HILLSDALE, MI 49242-0187
(517) 523-3695
(517) 523-3311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367044359
TRICARE
—
Enumeration date
02/16/2009
Last updated
12/01/2010
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