Individual provider · Type 1 NPI

Tracie Lynn Sheldrake, QMHA

Mental Health Counselor · Salem, OR

NPI number 1720112360 Active

Practice location

3180 Center St NE
Salem, OR 97301-4532

Call (503) 361-2665 Map

Mailing address

2255 15th Ave NW
Salem, OR 97304-1947

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XR9089 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1720112360

Tracie Lynn Sheldrake, QMHA's National Provider Identifier is 1720112360, issued on Mar 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jun 13, 2024.