Individual
LINDA SEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1937 WARD STORE RD, FAIRMONT, NC 28340-6451
(910) 674-1009
Mailing address
1937 WARD STORE RD, FAIRMONT, NC 28340-6451
(910) 674-1009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12736
NC
101Y00000X
Counselor
6881
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
249
SC
101YM0800X
Mental Health Counselor
12736
NC
101YM0800X
Mental Health Counselor
6881
SC
101YP2500X
Professional Counselor
12736
NC
101YP2500X
Professional Counselor
Primary
6881
SC
Other
Enumeration date
06/13/2016
Last updated
09/30/2018
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