Individual
MARY JO SELBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
305 20TH ST SE, CHARLESTON, WV 25304-1003
(304) 619-8715
Mailing address
4708 VENABLE AVE APT 3, CHARLESTON, WV 25304-1960
(304) 619-8715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2333
WV
Other
Enumeration date
01/09/2018
Last updated
10/10/2024
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