Provider Demographics
NPI:1821478454
Name:SEELEY, SEAN (LMFT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:SEELEY
Suffix:
Gender:M
Credentials: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 2664
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92263-2664
Mailing Address - Country:US
Mailing Address - Phone:714-336-2983
Mailing Address - Fax:
Practice Address - Street 1:2825 E TAHQUITZ CANYON WAY STE 202
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6995
Practice Address - Country:US
Practice Address - Phone:760-776-3898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86423106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist