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Individual
GABRIEL ETHAN SELDESS
Active
Individual
GABRIEL ETHAN SELDESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.004640
IL
101YP2500X
Professional Counselor
7040
NC
106H00000X
Marriage & Family Therapist
Primary
166.000965
IL
106H00000X
Marriage & Family Therapist
166000965
IL
Other
Enumeration date
06/24/2008
Last updated
11/08/2016
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