Most Relevant Information
Provider Data
| NPI Number: | 1003504028 |
| Provider Name: | JERI NICOLE SEIDMAN LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH19049 |
Most Important Dates
| Enumeration Date: | 04/27/2023 |
| Last Updated: | 04/27/2023 |
Provider Practice Location
5301 N FEDERAL HIGHWAY
SUITE 380 OFFICE #18
BOCA RATON
FL
33487
Practice Location Phone/Fax
| Phone: | 5614301920 |
| Fax: |
Provider Mailing Location
5301 N FEDERAL HIGHWAY
SUITE 380 BOX 416
BOCA RATON
FL
33487
Provider Mailing Phone/Fax
| Phone: | 5614301920 |
| Fax: |