Doctor Name: | MR. JOHN ROBERT SEAMAN |
NPI Number: | 1124153770 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MDIV, MS, LCPC |
License Number: | LC1634 |
Business Practice Address: | 8 Carvel Cir Cornerstone Pcc Edgewater, MD - 210371005 |
Business Phone Number: | 8004771083 |
Business Fax Number: | |
Mailing Address: | 9475 Vollmerhausen Dr, COLUMBIA |
State: | MD |
Postal Code: | 210462084 |
Phone Number: | 3014908607 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |