Provider Demographics
NPI:1275335457
Name:SEELEY, FRANCES RAQUEL (AMFT)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:RAQUEL
Last Name:SEELEY
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:RAQUEL
Other - Middle Name:
Other - Last Name:SEELEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMFT
Mailing Address - Street 1:303 POTRERO ST STE 29-203
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2759
Mailing Address - Country:US
Mailing Address - Phone:831-603-9951
Mailing Address - Fax:
Practice Address - Street 1:303 POTRERO ST STE 29-203
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2759
Practice Address - Country:US
Practice Address - Phone:831-603-9951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT148594103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist