Individual provider · Type 1 NPI

Charles Richard Seaberg Jr., LCDC

Addiction (Substance Use Disorder) Counselor · Fort Worth, TX

NPI number 1710227624 Active

Practice location

111 NW 24th St
Fort Worth, TX 76164-8544

Call (817) 626-6401 Map

Mailing address

5704 Havana Dr
North Richland Hills, TX 76180-6120

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3251 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1710227624

Charles Richard Seaberg Jr., LCDC's National Provider Identifier is 1710227624, issued on Mar 1, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 1, 2013.