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Individual

MR. JASON SELK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, LPC, NCC

Contact information

Practice address
225 S MERAMEC AVE, SUITE 829, SAINT LOUIS, MO 63105-3511
(314) 341-9496
(636) 256-4518
Mailing address
225 S MERAMEC AVE, SUITE 829, SAINT LOUIS, MO 63105-3511
(314) 341-9496
(636) 256-4518

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2000159344
MO

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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