Individual provider · Type 1 NPI

Selena E. Coburn

Mental Health Counselor · Austin, TX

NPI number 1366053563 Active

Practice location

4424 Gaines Ranch Loop Apt 1434
Austin, TX 78735-6540

Call (406) 781-7251 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11902-MH-CC (MA)

Mental Health Counselor: Definition to come...

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About NPI 1366053563

Selena E. Coburn's National Provider Identifier is 1366053563, issued on Aug 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Aug 11, 2020.