Individual provider · Type 1 NPI

Shannon Rose-Selstad, BS

Professional Counselor · Lawton, OK

NPI number 1487853677 Active

Practice location

1202 SW A Ave
Lawton, OK 73501-3821

Fax (580) 248-1090

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1487853677

Shannon Rose-Selstad, BS's National Provider Identifier is 1487853677, issued on Jul 17, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawton, OK. The record was last updated on Jul 17, 2007.