Provider Demographics
NPI:1700426632
Name:SEALE, DAKOTA MARSHALL (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:DAKOTA
Middle Name:MARSHALL
Last Name:SEALE
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 W NOLANA AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4623
Mailing Address - Country:US
Mailing Address - Phone:956-766-7575
Mailing Address - Fax:956-513-0490
Practice Address - Street 1:1109 W NOLANA AVE STE 304
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4623
Practice Address - Country:US
Practice Address - Phone:956-766-7575
Practice Address - Fax:956-513-0490
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78894101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty