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Individual
MR. SEAN ELIAS THEODORATOS
Active
Individual
MR. SEAN ELIAS THEODORATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, SWC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
SWC.0000001295
CO
Other
Enumeration date
05/31/2022
Last updated
10/26/2024
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