Individual
DAVID SELENGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
75 REID AVE, PASSAIC, NJ 07055-3415
(201) 757-2999
Mailing address
75 REID AVE, PASSAIC, NJ 07055-3415
(201) 757-2999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05848200
NJ
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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