Provider Demographics
NPI:1356417265
Name:SEEHOF, JAMES MICHAEL (MS, LCPC, LMFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:SEEHOF
Suffix:
Gender:M
Credentials:MS, LCPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 W BELLTOWER DR STE 175
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-6000
Mailing Address - Country:US
Mailing Address - Phone:208-871-7475
Mailing Address - Fax:
Practice Address - Street 1:3120 W BELLTOWER DR STE 175
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-6000
Practice Address - Country:US
Practice Address - Phone:208-871-7475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-219101YP2500X
IDLMFT-3036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist