Individual
SAMANTHA SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP
Contact information
Practice address
1336 VALLEY DR, BRISTOL, TN 37620-4046
(423) 557-1915
Mailing address
1336 VALLEY DR, BRISTOL, TN 37620-4046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6344
TN
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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