Bonnie Selby

NPI #1649384777 in Melbourne, Arkansas

Provider Information

NPI Number: 1649384777
Entity Type: Individual
Name: Bonnie Selby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1109 E. MAIN STREET
City: Melbourne
State: Arkansas
ZIP Code: 72556
Phone: (870) 368-4397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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