Provider Demographics
NPI:1194502898
Name:LIDDELL, SEFF FENRIR (LMHCA)
Entity type:Individual
Prefix:
First Name:SEFF
Middle Name:FENRIR
Last Name:LIDDELL
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 LANYARD DR NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-1333
Mailing Address - Country:US
Mailing Address - Phone:502-600-2539
Mailing Address - Fax:
Practice Address - Street 1:3812 LANYARD DR NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-1333
Practice Address - Country:US
Practice Address - Phone:502-600-2539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61545498101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health