Individual
MR. GARY SELBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
24 SOUTHTOWNE, POTOSI, MO 63664-5729
(573) 438-3733
(573) 438-0046
Mailing address
24 SOUTHTOWNE, POTOSI, MO 63664-5729
(573) 438-3733
(573) 438-0046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS0001519
MO
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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