Provider Demographics
NPI:1487784195
Name:SEYMOUR, JAMES (LCPC, LAC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SEYMOUR
Suffix:
Gender:M
Credentials:LCPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 N DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3736
Mailing Address - Country:US
Mailing Address - Phone:406-449-8708
Mailing Address - Fax:
Practice Address - Street 1:1125 MISSOULA AVE STE C
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3801
Practice Address - Country:US
Practice Address - Phone:406-449-4623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT923OtherPSYCHOTHERAPIST
MT412OtherADDICTIONS COUNSELOR