Provider Demographics
NPI:1679935241
Name:GLASPEY, VIRGINIA (LPC, CADC1, CCM)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:GLASPEY
Suffix:
Gender:F
Credentials:LPC, CADC1, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12791 SE 155TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4228
Mailing Address - Country:US
Mailing Address - Phone:503-341-0895
Mailing Address - Fax:
Practice Address - Street 1:12791 SE 155TH AVE
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-4228
Practice Address - Country:US
Practice Address - Phone:503-341-0895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health