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Individual
MR. JOHN HEATH SELIN
Active
Individual
MR. JOHN HEATH SELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
289868-3502
UT
1041C0700X
Clinical Social Worker
Primary
289868-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
05/30/2008
Last updated
03/17/2020
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