Provider Demographics
NPI:1164681391
Name:SEFFRIN, THERESA LYNN (BA)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:LYNN
Last Name:SEFFRIN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39782 AVENIDA MIGUEL OESTE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5294
Mailing Address - Country:US
Mailing Address - Phone:505-629-2762
Mailing Address - Fax:
Practice Address - Street 1:39782 AVENIDA MIGUEL OESTE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5294
Practice Address - Country:US
Practice Address - Phone:505-629-2762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional