Individual provider · Type 1 NPI

Selene Sophia Waddell, MC, LPC

Professional Counselor · Mountain View, CA

NPI number 1386233534 Active

Practice location

990 Villa St
Mountain View, CA 94041-1236

Call (888) 688-9296 Map

Mailing address

4118 E 2nd St
Tucson, AZ 85711-1014

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-2137 (AZ)

Professional Counselor: Definition to come...

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About NPI 1386233534

Selene Sophia Waddell, MC, LPC's National Provider Identifier is 1386233534, issued on Jan 12, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mountain View, CA. The record was last updated on Jan 25, 2021.