Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK SELBERG
ActiveAddiction (Substance Use Disorder) Counselor · ATCHISON, KS
Registration Details
- NPI Number
- 1124216130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2007 (18.548439167833 yrs)
- Last Updated
- Oct 4, 2007
- License
-
LMLP0209, LCP334 (KS)
Practice Information
- Address
-
1816 N 2ND STATCHISON, KS, 660021004Browse KS providers · Browse ZIP 66002
- Phone
- 9133671618
- Fax
- 9133676224
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ATCHISON, KS
| Name | Credential | NPI |
|---|---|---|
| DEANN LYNN BOLDRIDGE | — | 1891061800 |
| PATRICIA WICK | — | 1558020099 |
| DILLAN SOPH | LCAC | 1033829791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.