Dr Tina Marie Glover, PHD, CRC, LPC, LPCC | |
2355 State St Ste 101, Salem, OR 97301-4541 | |
(210) 503-9834 | |
(888) 371-3076 |
Full Name | Dr Tina Marie Glover |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2355 State St Ste 101, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023208410 | NPI | - | NPPES |
175348 | Other | KY | LPCC |
00085421 | Other | VA | CERTIFIED REHABILITATION COUNSELOR |
3787 | Other | AL | LPC |
013896 | Other | VA | NAADAC, NCAC II |
02-11-101 | Other | OR | ACCBO, CADC II |
C3006 | Other | OR | LPC |
Entity Name | Mindful Therapy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
Mailing Address | Practice Location Address |
---|---|
Dr Tina Marie Glover, PHD, CRC, LPC, LPCC Po Box 371, Converse, TX 78109-0371 Ph: (503) 970-0299 | Dr Tina Marie Glover, PHD, CRC, LPC, LPCC 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (210) 503-9834 |
Miss Lena Yesowitch, BA PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Moyer Ln Nw, Salem, OR 97304 Phone: 415-902-6835 | |
Tara Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2355 State St Ste 101, Salem, OR 97301 Phone: 971-599-3380 | |
Rachael L De La Torre, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Ms. Tommie Mae Salas, MS/P, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 37th Ave Se, Salem, OR 97317 Phone: 503-983-0489 Fax: 503-585-0491 | |
Mr. Thomas Wilson Dooley, MS,LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Liberty St Se, Salem, OR 97302 Phone: 503-951-6280 Fax: 503-468-3130 | |
Lynda Raylene Conley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1599 State St, Salem, OR 97301 Phone: 503-363-3260 | |
Rebekah Elizabeth Stoltzfus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Liberty St Ne Ste 2, Salem, OR 97301 Phone: 503-589-3112 |