Doctor Name: | JASON ANDREW SEILER |
NPI Number: | 1245369008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC, NCC |
License Number: | 6401008332 |
Business Practice Address: | 2045 E West Maple Rd Suite D-407 Commerce Township, MI - 483903801 |
Business Phone Number: | 2486243811 |
Business Fax Number: | 2486240368 |
Mailing Address: | 114 Orchard Lake Rd, PONTIAC |
State: | MI |
Postal Code: | 483412244 |
Phone Number: | 2488587766 |
Fax Number: | 2488587201 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6401008332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |