Provider Demographics
NPI:1871301440
Name:SEBERGER, NATALIA NICOLE MARIE
Entity type:Individual
Prefix:
First Name:NATALIA NICOLE
Middle Name:MARIE
Last Name:SEBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29607 SAWGRASS CIR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6716
Mailing Address - Country:US
Mailing Address - Phone:760-221-5982
Mailing Address - Fax:
Practice Address - Street 1:29970 TECHNOLOGY DR STE 108&212
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2645
Practice Address - Country:US
Practice Address - Phone:951-900-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health