Provider Demographics
NPI:1124153770
Name:SEAMAN, JOHN ROBERT (MDIV, MS, LCPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ROBERT
Last Name:SEAMAN
Suffix:
Gender:M
Credentials:MDIV, MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9475 VOLLMERHAUSEN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2084
Mailing Address - Country:US
Mailing Address - Phone:301-490-8607
Mailing Address - Fax:
Practice Address - Street 1:8 CARVEL CIR
Practice Address - Street 2:CORNERSTONE PCC
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1005
Practice Address - Country:US
Practice Address - Phone:800-477-1083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1634101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional