| Mary Jo Selbe, LPC | |
|
305 20th St Se, Charleston, WV 25304-1003 | |
| (304) 619-8715 | |
| Not Available |
| Full Name | Mary Jo Selbe |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 305 20th St Se, Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770090011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2333 (West Virginia) | Primary |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jo Selbe, LPC 4708 Venable Ave Apt 3, Charleston, WV 25304-1960 Ph: (304) 619-8715 | Mary Jo Selbe, LPC 305 20th St Se, Charleston, WV 25304-1003 Ph: (304) 619-8715 |
Jatue Richardson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
James M Jackson, COUNSELOR 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
Jill Leean Woodrum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 | |
Denise Briscoe, MA, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 | |
Hope Hartz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1632 Kanawha Blvd E, Charleston, WV 25311 Phone: 304-344-8515 | |
Ethel Austin, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-245-9753 Fax: 304-344-3503 | |
Khadija Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 |