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General NPI Number Information
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NPI Number | 1225780703
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Entity Type | Individual
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Provider Name | CHRISTOPHER GLEN SEALS MS, LPC, LCDC, NCC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 4004 WORTH ST
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City | DALLAS
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State | TX
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Zip | 75246-1607
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Country | US
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Telephone | 214-623-6830
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Fax | 214-623-6807
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 2613
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16031
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 87819
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License Number State | TX
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