Sebora, Thomas Patrick

Sebora, Thomas Patrick is an individual health care provider with primary practice located at 214 E Summer St , Appleton WI 54911-4814. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Sebora, Thomas Patrick can be contacted via phone (920) 734-2601.

Contact Information

Primary practice address
214 E Summer St Appleton WI 54911-4814
Phone: (920) 734-2601
Fax: (920) 727-1081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12024 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 294123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 271124 Wisconsin

Profile Details

NPI number 1245207158
LBN Legal business name Sebora, Thomas Patrick
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245207158 NPPES
Wisconsin MEDICAID 39626100

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