Organization
SEIDEL COUNSELING LLC
Active
Organization
SEIDEL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI E. SEIDEL MA, LPC (OWNER/COUNSELOR)
(636) 686-0706
Entity
Organization
Contact information
Practice address
111 PROSPECT AVE, SUITE 203J, KIRKWOOD, MO 63122-6052
(636) 686-0706
Mailing address
111 PROSPECT AVE, SUITE 203J, KIRKWOOD, MO 63122-6052
(636) 686-0706
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2014000741
MO
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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