Glen Edgar Meldahl, LPC Valid NPI

Individual provider · Mental Health Counselor · Jacksonville, AR

NPI

1790064624

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

P9503006 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2011-08-09

Last updated

2016-11-10