Individual
BRANDON SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 POYDRAS ST, NEW ORLEANS, LA 70112-1254
(504) 615-3335
Mailing address
1615 POYDRAS ST, NEW ORLEANS, LA 70112-1254
(504) 615-3335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7886
LA
101YP2500X
Professional Counselor
Primary
7886
LA
Other
Enumeration date
05/18/2018
Last updated
10/16/2024
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