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Individual
SEAN J. WASSON
Active
Individual
SEAN J. WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15771-132
WI
101YP2500X
Professional Counselor
Primary
6825-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689097958
—
WI
Enumeration date
01/22/2014
Last updated
05/07/2020
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