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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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