Individual
SELENA MOREFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 W MAIN ST, WACONIA, MN 55387
(855) 454-2463
Mailing address
1739 HIDDEN TRL, MAYER, MN 55360-4543
(952) 388-4774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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