Individual
COURTNEY RUTH SELLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
262 POPLAR DR, SHOREVIEW, MN 55126-4819
(651) 319-1776
Mailing address
262 POPLAR DR, SHOREVIEW, MN 55126-4819
(651) 319-1776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3564
MN
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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