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Individual

MRS. TERALYN ANNE SELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CSAC, CSC-IT,

Contact information

Practice address
705 MANCHESTER RD, NEENAH, WI 54956-4909
(920) 486-1373
Mailing address
705 MANCHESTER RD, NEENAH, WI 54956-4909
(920) 486-1373

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15391-133
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15409-132
WI
101YM0800X
Mental Health Counselor
Primary
4415-125
WI

Other

Enumeration date
10/08/2009
Last updated
09/04/2014
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