Provider Demographics
NPI:1033546809
Name:SEIFF, JESENIA MARIE
Entity Type:Individual
Prefix:
First Name:JESENIA
Middle Name:MARIE
Last Name:SEIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESENIA
Other - Middle Name:MARIE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1413 KNOLLCREST DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-5879
Mailing Address - Country:US
Mailing Address - Phone:661-645-2805
Mailing Address - Fax:
Practice Address - Street 1:2150 RIVER PLAZA DR STE 410
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-4140
Practice Address - Country:US
Practice Address - Phone:866-727-8274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health