Provider Demographics
NPI:1427735729
Name:WORK, SELENA (MS, LCMHC, LCAS, NCC)
Entity type:Individual
Prefix:
First Name:SELENA
Middle Name:
Last Name:WORK
Suffix:
Gender:F
Credentials:MS, LCMHC, LCAS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7716
Mailing Address - Country:US
Mailing Address - Phone:910-386-9577
Mailing Address - Fax:
Practice Address - Street 1:1606 HARBOUR DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7716
Practice Address - Country:US
Practice Address - Phone:910-386-9577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25685101YA0400X
NC15006101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)