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Individual

TAMYRA RENEE' SEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MDIV, LCAC, CADAC II

Contact information

Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168670
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
8700120A
IN
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor

Other

Enumeration date
08/18/2010
Last updated
05/29/2024
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