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Individual

GEARL C SEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDS II, CDVC II

Contact information

Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-1537
Mailing address
205 NE 4TH ST, PRINEVILLE, OR 97754-1925
(541) 416-1095
(541) 416-0991

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WA
101YP2500X
Professional Counselor
A21377
IN

Other

Enumeration date
08/07/2007
Last updated
08/12/2024
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