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Individual

CELETTA COLEMAN-SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
295 HOSPITAL ST, MOULTON, AL 35650-1210
(256) 974-6697
(256) 341-0747
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 260-7361
(256) 341-0747

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51193389
BLUE CROSS BLUE SHIELD
AL
01
51193390
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/09/2016
Last updated
07/18/2017
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