Individual
MRS. SHELLY D KIRK-SELVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 285-4750
Mailing address
21120 MERIDIAN AVENUE EAST, GRAHAM, WA 98338-8254
(253) 285-4750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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