| Jack Selberg, | |
|
1816 N 2nd St, Atchison, KS 66002-1004 | |
| (913) 367-1618 | |
| (913) 367-6224 |
| Full Name | Jack Selberg |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1816 N 2nd St, Atchison, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124216130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LMLP0209, LCP334 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Selberg, 1816 N 2nd St, Atchison, KS 66002-1004 Ph: (913) 367-1618 | Jack Selberg, 1816 N 2nd St, Atchison, KS 66002-1004 Ph: (913) 367-1618 |
Dillan Soph, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1816 N 2nd St, Atchison, KS 66002 Phone: 913-367-1618 | |
Jennifer D Cavin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 N 6th St, Suite 7, Atchison, KS 66002 Phone: 913-367-0105 Fax: 913-367-3959 | |
Ginger Jo James, LCP CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Main St, Atchison, KS 66002 Phone: 913-367-1593 | |
Mr. Elmer Fangman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 N 2nd St, Atchison, KS 66002 Phone: 913-367-0105 Fax: 913-367-0105 | |
Patricia Wick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Main St, Atchison, KS 66002 Phone: 913-367-1593 | |
John M Speckhals, AAPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd Street, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627 |