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General NPI Number Information
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NPI Number | 1326778424
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Entity Type | Organization
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Legal Business Name | SELINA KELLY COUNSELING, PLLC
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 05/05/2024
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Provider Practice Location Address
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Address Line | 1000 CENTREPARK DR
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City | ASHEVILLE
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State | NC
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Zip | 28805-1265
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Country | US
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Telephone | 828-518-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BRIAR BROOK RD
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-3703
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Country | US
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Telephone | 802-922-4663
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SELINA KELLY
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Credential | LCMHC
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Telephone | 828-518-6560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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