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NPI Code Detail

MEDICARE: SELINA A BARBY

MEDICARE: SELINA A BARBY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4436MN

General Provider Information

NPI Number : 1801541412
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELINA A BARBY
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 866-603-0016
Fax Number :
Provider Business Practice Location Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 866-603-0016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 01/16/2026

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Directions to “ SELINA A BARBY ” Practice Location

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