Individual
MARY SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15201 ARROWHEAD LOOP E, WILLIS, TX 77378-3609
(281) 460-2278
Mailing address
15201 ARROWHEAD LOOP E, WILLIS, TX 77378-3609
(281) 460-2278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
009062
GA
101Y00000X
Counselor
Primary
63711
TX
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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