Individual
JESSICA SEABOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1599 2ND AVE, CHARLESTON, WV 25387-2514
(304) 344-0586
Mailing address
PO BOX 20112, CHARLESTON, WV 25362-1112
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/22/2022
Last updated
07/30/2025
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