Individual
SELENA WORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, LCAS, NCC
Contact information
Practice address
1606 HARBOUR DR, WILMINGTON, NC 28401-7716
(910) 386-9577
Mailing address
1606 HARBOUR DR, WILMINGTON, NC 28401-7716
(910) 386-9577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15006
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
25685
NC
Other
Enumeration date
06/29/2023
Last updated
07/11/2023
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