Provider Demographics
NPI:1457699647
Name:SELOVER, ERIN E (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:SELOVER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 CHERMOORE CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7920
Mailing Address - Country:US
Mailing Address - Phone:314-536-3282
Mailing Address - Fax:
Practice Address - Street 1:1923 CHERMOORE CT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-7920
Practice Address - Country:US
Practice Address - Phone:314-536-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178008759101YP2500X
MO2021006576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional