Organization
SELAH COUNSELING
Active
Other names
Theresa Scully
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA E SCULLY MSW, LICSW (OWNER/PRACTIONER)
(701) 570-4602
Entity
Organization
Contact information
Practice address
125 MAIN ST,, SUITE #220, WILLISTON, ND 58801
(701) 570-4602
Mailing address
PO BOX 1883, WILLISTON, ND 58802-1883
(701) 570-4602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4970
ND
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
4970
ND
Other
Enumeration date
03/15/2017
Last updated
09/13/2018
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