Provider Demographics
NPI:1497012769
Name:SEESTADT, CHRISTINE (LMHC, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:SEESTADT
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-3840
Mailing Address - Country:US
Mailing Address - Phone:518-376-4645
Mailing Address - Fax:518-580-9975
Practice Address - Street 1:26 CENTURY HILL DR STE 205
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2110
Practice Address - Country:US
Practice Address - Phone:518-250-6193
Practice Address - Fax:518-213-3013
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21544101YA0400X
NY004197-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)