person
Glen Edgar Meldahl, LPC
Mental Health Counselor in Jacksonville, Arkansas
NPI 1790064624

Glen Edgar Meldahl is a Mental Health Counselor based in Jonesboro, AR and is specialized in Mental Health. Glen Edgar Meldahl practices in Jacksonville, AR and has the professional credentials of LPC. The NPI Number for Glen Edgar Meldahl is 1790064624 and holds a License No. P9503006 (Arkansas).

The current practice location address for Glen Edgar Meldahl is 2126 N 1St Street, Jacksonville, AR and can be reached out via phone at 501-982-5000 and via fax at 501-982-5007.

Location: 2126 N 1St Street, Jacksonville, AR, 72401-7870
person
Provider Profile Details
NPI Number
1790064624
Provider Name
Glen Edgar Meldahl
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2126 N 1St Street, Jacksonville, AR, 72401-7870
Phone Number
501-982-5000
Fax Number
501-982-5007
Provider Enumeration Date
08/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187842795 05 AR
5T153 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
2126 N 1St Street
City
State
Zip
72076-2868
Phone Number
501-982-5000
Fax Number
501-982-5007
person
Provider Business Mailing Address Details
Address
2126 N 1St Street
City
State
Zip
72076-2868
Phone Number
501-982-5000
Fax Number
501-982-5007
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P9503006 (Arkansas)
Definition
Definition to come...
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