person
Mr. Shelby Glidden, QMHA
Mental Health Counselor in Cottage Grove, Oregon
NPI 1811059587

Shelby Glidden is a Mental Health Counselor based in Cottage Grove, OR and is specialized in Mental Health. Shelby Glidden practices in Cottage Grove, OR and has the professional credentials of QMHA. The NPI Number for Shelby Glidden is 1811059587 and holds a License No. (Oregon).

The current practice location address for Shelby Glidden is 410 N 9Th St, Cottage Grove, OR and can be reached out via phone at 541-942-2850 and via fax at 541-942-1574.

Location: 410 N 9Th St, Cottage Grove, OR, 97424-1307
person
Provider Profile Details
NPI Number
1811059587
Provider Name
Shelby Glidden
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
410 N 9Th St, Cottage Grove, OR, 97424-1307
Phone Number
541-942-2850
Fax Number
541-942-1574
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019047 05 OR
institution
Provider Business Practice Location Address Details
Address
410 N 9Th St
City
State
Zip
97424-1307
Phone Number
541-942-2850
Fax Number
541-942-1574
person
Provider Business Mailing Address Details
Address
410 N 9Th St
City
State
Zip
97424-1307
Phone Number
541-942-2850
Fax Number
541-942-1574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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