Individual
SEELEY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
809979
CA
Other
Enumeration date
03/14/2007
Last updated
05/02/2012
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