Individual
SEAN OATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 W MAIN ST, LEBANON, IN 46052-2388
(877) 574-1254
Mailing address
1600 W MAIN ST, LEBANON, IN 46052-2388
(877) 574-1254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85000545A
IN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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