Doctor Name: | GLENN GELFENBEIN |
NPI Number: | 1518230416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, OR LPC, CA LMFT |
License Number: | MFC 32477 |
Business Practice Address: | 149 Clear Creek Dr Unit 103 Ashland, OR - 975201882 |
Business Phone Number: | 5413269465 |
Business Fax Number: | |
Mailing Address: | 149 Clear Creek Drive, Suite 103, ASHLAND |
State: | OR |
Postal Code: | 97520 |
Phone Number: | 5413269465 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2012 |
NPI Last Update Date: | 02/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MFC 32477 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |