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Individual

GARY LEE SEACHORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
1123 N 9TH STREET, BEATRICE, NE 68310-2041
(402) 228-3386
(402) 228-2004
Mailing address
920 GARDEN, BEATRICE, NE 68310
(402) 806-0334

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC502
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025207900
NE
05
470528511513
NE
05
47052851500
NE
05
47052851501
NE
05
47052851502
NE
05
47052851503
NE
05
47052851504
NE
05
47052851505
NE
05
47052851506
NE
05
47052851507
NE
05
47052851508
NE
05
47052851509
NE
05
47052851510
NE
05
47052851514
NE
05
47052851515
NE
05
47052851517
NE
05
47052851581
NE
01
85334
BCBS
NE
Enumeration date
11/02/2006
Last updated
07/08/2007
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