Provider Demographics
NPI:1346506177
Name:SEELEY, VALOY T (LPC)
Entity Type:Individual
Prefix:MR
First Name:VALOY
Middle Name:T
Last Name:SEELEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:VAL
Other - Middle Name:
Other - Last Name:SEELEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:220 4TH AVE E
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6312
Mailing Address - Country:US
Mailing Address - Phone:208-736-0695
Mailing Address - Fax:208-735-2482
Practice Address - Street 1:220 4TH AVE E
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6312
Practice Address - Country:US
Practice Address - Phone:208-736-0695
Practice Address - Fax:208-735-2482
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional