Provider Demographics
NPI:1902813082
Name:SEIDEL, JOANIE M (MFT, CT)
Entity Type:Individual
Prefix:MS
First Name:JOANIE
Middle Name:M
Last Name:SEIDEL
Suffix:
Gender:F
Credentials:MFT, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 DRY CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-9595
Mailing Address - Country:US
Mailing Address - Phone:707-253-7513
Mailing Address - Fax:707-253-7513
Practice Address - Street 1:4601 DRY CREEK ROAD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2864
Practice Address - Country:US
Practice Address - Phone:707-253-7513
Practice Address - Fax:707-253-7513
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist