Doctor Name: | REBECCA SEAWARD |
NPI Number: | 1528455573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401014970 |
Business Practice Address: | 127 N River St Fenton, MI - 484303800 |
Business Phone Number: | 8103099355 |
Business Fax Number: | 8107501152 |
Mailing Address: | 4201 Foley Glen Ct, FENTON |
State: | MI |
Postal Code: | 484303438 |
Phone Number: | 8104492932 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401014970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |