MR. THOMAS PATRICK SEBORA MSW NPI 1245207158

NPI Information

NPI: 1245207158
Provider Name: MR. THOMAS PATRICK SEBORA, MSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
214 E SUMMER ST
APPLETON, WI
ZIP 54911
Phone: (920) 734-2601
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MR. Thomas Patrick Sebora, MSW is an addiction (substance use disorder) counselor in Appleton, WI. MR. Thomas Patrick Sebora, MSW NPI is 1245207158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

214 E SUMMER ST
APPLETON, WI
ZIP 54911-814
Phone: (920) 734-2601
Fax: (920) 727-1081

The enumeration date for this NPI number is 3/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12024	WISCONSIN	Yes
2	101YM0800X	Counselor	Mental Health	294123	WISCONSIN	X
3	106H00000X	Marriage & Family Therapist		271124	WISCONSIN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39626100	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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