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Individual

JAMES MARK SEABOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22279 N 4 MILE RD, FORT GIBSON, OK 74434-6054
(918) 348-0061
Mailing address
340 S 33RD ST, MUSKOGEE, OK 74401-5036
(918) 348-2940

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1251
OK

Other

Enumeration date
10/20/2017
Last updated
03/17/2018
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