| Doctor Name: | MR. SEAN PATRICK DEWINTER |
| NPI Number: | 1790168383 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I.1500293 |
| Business Practice Address: | 1061 Harmon Ave Suite 1d03 Ft Stewart, GA - 313145674 |
| Business Phone Number: | 9124356965 |
| Business Fax Number: | |
| Mailing Address: | 1061 Harmon Ave Suite 1d03, FT STEWART |
| State: | GA |
| Postal Code: | 313145674 |
| Phone Number: | 9124356965 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | I.1500293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |