Individual provider · Type 1 NPI

Shelby Rose Pehlke

Mental Health Counselor · Roseburg, OR

NPI number 1477357325 Active

Practice location

3005 NE Diamond Lake Blvd
Roseburg, OR 97470-3609

Fax (541) 440-3554

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477357325

Shelby Rose Pehlke's National Provider Identifier is 1477357325, issued on Apr 1, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Jul 21, 2025.