Individual
DAVID A SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10050 BASSETT RD, ATHENS, OH 45701-3626
(740) 593-3890
Mailing address
PO BOX 724, ATHENS, OH 45701-0724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314525
—
OH
05
—
2864002
—
OH
Enumeration date
02/22/2019
Last updated
02/22/2019
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