Shellenbarger, Tess Diane
Shellenbarger, Tess Diane is an individual health care provider with primary practice located at 390 Ne 2Nd St , Ontario OR 97914-2513. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shellenbarger, Tess Diane can be contacted via phone (541) 889-1050.Contact Information
Primary practice address
390 Ne 2Nd St
Ontario OR 97914-2513
Phone: (541) 889-1050
Fax: (541) 889-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C2456 | Oregon |
Profile Details
| NPI number | 1083990832 |
|---|---|
| LBN Legal business name | Shellenbarger, Tess Diane |
| Credentials | LCPC, LPC, MAC, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2011 |
| Last updated | Oct 25th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083990832 | NPPES |
| Oregon | Other | C2456 | LINCENSED PROFESSIONAL COUNSELOR |
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