Provider Demographics
NPI:1467054320
Name:SEAH MCCREA, LOO GEN (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LOO GEN
Middle Name:
Last Name:SEAH MCCREA
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:LOO GEN
Other - Middle Name:
Other - Last Name:SEAH-MCCREA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:519 EASTLOOK DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1556
Mailing Address - Country:US
Mailing Address - Phone:734-276-2707
Mailing Address - Fax:
Practice Address - Street 1:2245 S STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6184
Practice Address - Country:US
Practice Address - Phone:734-769-0209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-14
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017499101YM0800X
MI6401019671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health