Individual
SANDRA SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 532-8695
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NA
—
Enumeration date
03/29/2018
Last updated
12/18/2019
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