Individual
MR. JEREMY B SEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LCAS, CSI
Contact information
Practice address
57 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-8200
(910) 577-8270
Mailing address
57 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-8200
(910) 577-8270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1726
NC
101YP2500X
Professional Counselor
Primary
LPC 7682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112214
—
NC
Enumeration date
12/04/2010
Last updated
09/25/2015
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