person
Mr. Daniel Andrew Selock, MS/CADC/LCPC
Professional Counselor in Goreville, Illinois
NPI 1891872362

Daniel Andrew Selock is a Professional Counselor based in Goreville, IL and is specialized in Professional. Daniel Andrew Selock practices in Goreville, IL and has the professional credentials of MS/CADC/LCPC. The NPI Number for Daniel Andrew Selock is 1891872362 and holds a License No. 180006639 (Illinois).

The current practice location address for Daniel Andrew Selock is 70 Sandy Pt, Goreville, IL and can be reached out via phone at 618-889-3987 and via fax at 618-351-1419.

Location: 70 Sandy Pt, Goreville, IL, 62939-3122
person
Provider Profile Details
NPI Number
1891872362
Provider Name
Daniel Andrew Selock
Credential
MS/CADC/LCPC
Provider Entity Type
Individual
Gender
Male
Address
70 Sandy Pt, Goreville, IL, 62939-3122
Phone Number
618-889-3987
Fax Number
618-351-1419
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180006639 01 IL STATE LICENSE, LCPC
03932079 01 IL BLUE CROSS BLUE SHIELD
11826508 01 IL CAQH
institution
Provider Business Practice Location Address Details
Address
70 Sandy Pt
City
State
Zip
62939-3122
Phone Number
618-889-3987
Fax Number
618-351-1419
person
Provider Business Mailing Address Details
Address
70 Sandy Pt
City
State
Zip
62939-3122
Phone Number
618-889-3987
Fax Number
618-351-1419
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180006639 (Illinois)
Definition
Definition to come...
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