Provider Demographics
NPI:1598403883
Name:SEICKE, LAUREN E (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:E
Last Name:SEICKE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GALLOWAY AVE STE 2D
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4954
Mailing Address - Country:US
Mailing Address - Phone:443-635-1174
Mailing Address - Fax:
Practice Address - Street 1:12 GALLOWAY AVE STE 2D
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4954
Practice Address - Country:US
Practice Address - Phone:443-635-1174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health