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Individual

MR. THOMAS PATRICK SEBORA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
214 E SUMMER ST, APPLETON, WI 54911-4814
(920) 734-2601
(920) 727-1081
Mailing address
E1952 NELSON RD, WAUPACA, WI 54981-7545
(715) 467-2168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12024
WI
101YM0800X
Mental Health Counselor
294123
WI
106H00000X
Marriage & Family Therapist
271124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39626100
WI
Enumeration date
03/01/2006
Last updated
09/11/2025
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