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Individual

MS. JENNIFER L. SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCAPP

Contact information

Practice address
800 SCENIC DR # BLDNGF, MODESTO, CA 95350-6131
(209) 525-6150
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6225

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII056740518
CA
171M00000X
Case Manager/Care Coordinator
AII056740518
CA
372600000X
Adult Companion
Primary
AII056740518
CA
374700000X
Technician
S1103032139
CA

Other

Enumeration date
04/10/2013
Last updated
05/21/2025
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