Provider Demographics
NPI:1801963012
Name:SEELIG, JANE WRIGHT (MA,LPC, ATR,BC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:WRIGHT
Last Name:SEELIG
Suffix:
Gender:F
Credentials:MA,LPC, ATR,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7243 DELMAR AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130
Mailing Address - Country:US
Mailing Address - Phone:314-832-7340
Mailing Address - Fax:
Practice Address - Street 1:7243 DELMAR BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-4105
Practice Address - Country:US
Practice Address - Phone:314-832-7340
Practice Address - Fax:314-832-7340
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000150933101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO187401OtherBLUE CROSS BLUE SHEILD