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MR. ANDREW JOHN SEUBERT M.A.
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1619056108
Individual Registrant:MR. ANDREW JOHN SEUBERT M.A.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3835 N FALLS RD BURDETT, NY 14818-9639 US
Tel: 607-703-0510 Fax: 607-703-0510
Tel: 607-703-0510 Fax: 607-703-0510
Contact information for business:
3835 N FALLS RD BURDETT, NY 14818-9639 US
Tel: 607-703-0510 Fax: 607-703-0510
Tel: 607-703-0510 Fax: 607-703-0510
Registration Information:
NPI: 1619056108
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | PA | PC000125 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TAX IDENTIFICATION NUMBER | 061619396 | PA | 01 |
