Individual provider · Type 1 NPI

Glen Edgar Meldahl, LPC

Mental Health Counselor · Jacksonville, AR

NPI number 1790064624 Active

Practice location

2126 N 1st Street, Suite F
Jacksonville, AR 72076-2868

Call (501) 982-5000 Map

Fax (501) 982-5007

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP9503006 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1790064624

Glen Edgar Meldahl, LPC's National Provider Identifier is 1790064624, issued on Aug 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, AR. The record was last updated on Nov 10, 2016.