Individual provider · Type 1 NPI

Carlyn Sue Glaser, QMHP

Mental Health Counselor · Portland, OR

NPI number 1205844388 Active

Practice location

412 SW 12th Ave
Portland, OR 97205-2329

Fax (503) 445-0749

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205844388

Carlyn Sue Glaser, QMHP's National Provider Identifier is 1205844388, issued on Aug 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 5, 2009.