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General NPI Number Information
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NPI Number | 1093693418
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Entity Type | Organization
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Legal Business Name | SEYBO THERAPY AND COUNSELING
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 323 ECLIPSE ST
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City | SUMMERVILLE
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State | SC
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Zip | 29486-2931
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Country | US
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Telephone | 202-714-7902
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Fax |
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 843-414-9661
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MR. ABDUL K KARGBO
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Credential | LISW-CP/LICSW
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Telephone | 202-714-7902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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