Dickason, Shelley M
Dickason, Shelley M is an individual health care provider with primary practice located at 51340 Highway 97 , La Pine OR 97739-9871. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dickason, Shelley M can be contacted via phone (541) 322-7500.Contact Information
Primary practice address
51340 Highway 97
La Pine OR 97739-9871
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 19-QMHA-I-00890 | Oregon |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1124515184 |
---|---|
LBN Legal business name | Dickason, Shelley M |
Credentials | QMHA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2018 |
Last updated | Apr 27th, 2023 - about last year |
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.
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