Provider Demographics
NPI:1831655349
Name:SEIPP, MELANIE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SEIPP
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:HOWARD LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55349-0458
Mailing Address - Country:US
Mailing Address - Phone:320-543-6847
Mailing Address - Fax:320-407-1485
Practice Address - Street 1:606 8TH AVENUE
Practice Address - Street 2:
Practice Address - City:HOWARD LAKE
Practice Address - State:MN
Practice Address - Zip Code:55349
Practice Address - Country:US
Practice Address - Phone:320-543-6847
Practice Address - Fax:320-407-1485
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3656106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist