Sean Elliot Tew

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eureka, CA

NPI 1073258018 · NPPES record last updated May 4, 2022

Key facts

NPI
1073258018
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2107 1St St
Eureka, CA 95501-0840
Phone
(707) 273-6395
NPI assigned
May 4, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC Current
since May 8, 2022
Accepting new patients

Locations

2107 1st St
Eureka, CA 95501
Phone (707) 273-6395

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

2107 1St St
Eureka, CA 95501-0840

Mailing address

2107 1St St
Eureka, CA 95501-0840
Phone (707) 442-2058

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sean.tew@pinnacletreatment.com

Other providers in Eureka, CA

All providers in Eureka, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.