Individual
JON KONRAD SEABURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC , LPCC
Contact information
Practice address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-7443
(612) 871-0194
Mailing address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-7443
(612) 871-0194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CC01283
MN
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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