Individual
JORDAN LEE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMAC
Contact information
Practice address
1401 SW TOPEKA BLVD, TOPEKA, KS 66612-1818
(785) 260-6688
(785) 408-5485
Mailing address
1401 SW TOPEKA BLVD, TOPEKA, KS 66612-1818
(785) 260-6688
(785) 408-5485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
738
KS
101YP2500X
Professional Counselor
Primary
3239
KS
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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