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Shaela Glade, MS
Mental Health Counselor in Brigham City, Utah
NPI 1366766750

Shaela Glade is a Mental Health Counselor based in Brigham City, UT and is specialized in Mental Health. Shaela Glade practices in Brigham City, UT and has the professional credentials of MS. The NPI Number for Shaela Glade is 1366766750 and holds a License No. 276750-6004 (Utah).

The current practice location address for Shaela Glade is 663 W 950 S, Brigham City, UT and can be reached out via phone at 435-734-9449.

Location: 663 W 950 S, Brigham City, UT, 84302-3021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366766750
Provider Name
Shaela Glade
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
663 W 950 S, Brigham City, UT, 84302-3021
Phone Number
435-734-9449
Fax Number
Provider Enumeration Date
03/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366766750 05 UT
institution
Provider Business Practice Location Address Details
Address
663 W 950 S
City
Brigham City
State
Utah
Zip
84302-3021
Phone Number
435-734-9449
Fax Number
person
Provider Business Mailing Address Details
Address
663 W 950 S
City
Brigham City
State
Utah
Zip
84302-3021
Phone Number
435-734-9449
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
276750-6004 (Utah)
Definition
Definition to come...
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