Provider Demographics
NPI:1528240371
Name:SEABAUGH, JANELLE RAE (LPC)
Entity type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:RAE
Last Name:SEABAUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6795 AXTEL DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8462
Mailing Address - Country:US
Mailing Address - Phone:614-862-8036
Mailing Address - Fax:614-920-0830
Practice Address - Street 1:3620 N HIGH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3611
Practice Address - Country:US
Practice Address - Phone:614-263-8161
Practice Address - Fax:614-263-8268
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC8421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional