| Doctor Name: | GEARL C SEAL |
| NPI Number: | 1114118833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CDS II, CDVC II |
| License Number: | A21377 |
| Business Practice Address: | 205 Ne 4th St Prineville, OR - 977541925 |
| Business Phone Number: | 5414161095 |
| Business Fax Number: | 5414160991 |
| Mailing Address: | 205 Ne 4th St, PRINEVILLE |
| State: | OR |
| Postal Code: | 977541925 |
| Phone Number: | 5414161095 |
| Fax Number: | 5414160991 |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 08/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A21377 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |