| Doctor Name: | MS. JESSICA NICOLE SELLARS |
| NPI Number: | 1255561387 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 3086 Cranberry Hwy East Wareham, MA - 025384801 |
| Business Phone Number: | 5082957990 |
| Business Fax Number: | 5082953781 |
| Mailing Address: | 3086 Cranberry Hwy, EAST WAREHAM |
| State: | MA |
| Postal Code: | 025384801 |
| Phone Number: | 5082957990 |
| Fax Number: | 5082953781 |
| NPI Enumeration Date: | 07/23/2009 |
| NPI Last Update Date: | 07/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |