Individual provider · Type 1 NPI

Wyatt Seal

Mental Health Counselor · Idaho Falls, ID

NPI number 1407786015 Active

Practice location

1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159

Call (208) 315-9097 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407786015

Wyatt Seal's National Provider Identifier is 1407786015, issued on May 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on May 23, 2026.