Provider Demographics
NPI:1093917866
Name:TERESA SEIN
Entity Type:Organization
Organization Name:TERESA SEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:PEDRAZA
Authorized Official - Last Name:SEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-621-7474
Mailing Address - Street 1:344 PLACERVILLE DR STE 17
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3972
Mailing Address - Country:US
Mailing Address - Phone:530-621-6303
Mailing Address - Fax:
Practice Address - Street 1:344 PLACERVILLE DR STE 17
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-3972
Practice Address - Country:US
Practice Address - Phone:530-621-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization