Individual provider · Type 1 NPI

Candice Phyllis Love Shidler, QMHA

Community/Behavioral Health Agency · Klamath Falls, OR

NPI number 1295218063 Active

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Call (541) 883-1030 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

540 other providers at this address

About NPI 1295218063

Candice Phyllis Love Shidler, QMHA's National Provider Identifier is 1295218063, issued on Sep 7, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Sep 7, 2018.