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Individual
SEAN MAYBERY
Active
Individual
SEAN MAYBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14091
TX
101YP2500X
Professional Counselor
Primary
77357
TX
Other
Enumeration date
11/27/2018
Last updated
11/01/2021
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