Individual
MR. ANDREW JOHN SEUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3835 N FALLS RD, BURDETT, NY 14818-9639
(607) 703-0510
(607) 703-0510
Mailing address
3835 N FALLS RD, BURDETT, NY 14818-9639
(607) 703-0510
(607) 703-0510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000125
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061619396
TAX IDENTIFICATION NUMBER
PA
Enumeration date
11/03/2006
Last updated
11/11/2016
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