CHARLES RICHARD SEABERG

FORT WORTH, TX
NPI1710227624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  3251)
Enumeration Date2013-03-01
Last Update Date2013-03-01
Business Address
-- CHARLES RICHARD SEABERG LCDC
111 NW 24TH ST
FORT WORTH, TX 76164-8544
Phone number: 817-626-6401
Mailing Address
-- CHARLES RICHARD SEABERG LCDC
5704 HAVANA DR
NORTH RICHLAND HILLS, TX 76180-6120
Phone number: 817-929-2936