Doctor Name: | MRS. TEENA MARIE SEGUIN |
NPI Number: | 1043649213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 007891 |
Business Practice Address: | 300 W Broadway Ste 107 Council Bluffs, IA - 515034489 |
Business Phone Number: | 7123283700 |
Business Fax Number: | 7123283721 |
Mailing Address: | 300 W Broadway Ste 107, COUNCIL BLUFFS |
State: | IA |
Postal Code: | 515034489 |
Phone Number: | 7123283700 |
Fax Number: | 7123283721 |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |