Provider Demographics
NPI:1487952081
Name:SEIDEL, SARA CRECINK (MA, LPC)
Entity type:Individual
Prefix:MISS
First Name:SARA
Middle Name:CRECINK
Last Name:SEIDEL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S GREEN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3693
Mailing Address - Country:US
Mailing Address - Phone:828-430-4388
Mailing Address - Fax:828-430-4384
Practice Address - Street 1:617 S GREEN ST STE 300
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3693
Practice Address - Country:US
Practice Address - Phone:828-430-4388
Practice Address - Fax:828-430-4384
Is Sole Proprietor?:No
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional