Healthcare Provider Details

I. General information

NPI: 1194659995
Provider Name (Legal Business Name): SELINA MARKIEWICZ LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S CAMINO DEL RIO STE C1A
DURANGO CO
81303-6013
US

IV. Provider business mailing address

391 ALPINE FOREST DR
BAYFIELD CO
81122-8792
US

V. Phone/Fax

Practice location:
  • Phone: 970-716-0728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0021383
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: