Provider Demographics
NPI:1033314844
Name:SELINSKY, SHEILA ANN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANN
Last Name:SELINSKY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 MAIN ST NW STE 5
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1884
Mailing Address - Country:US
Mailing Address - Phone:763-237-3505
Mailing Address - Fax:763-237-3505
Practice Address - Street 1:231 MAIN ST NW STE 5
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1884
Practice Address - Country:US
Practice Address - Phone:763-237-3505
Practice Address - Fax:763-237-3505
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1020101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health