Provider Demographics
NPI:1134351257
Name:GLAESER, KIERSTEN ANNE (LPC)
Entity type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:ANNE
Last Name:GLAESER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4185 SW RESEARCH WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-1783
Mailing Address - Country:US
Mailing Address - Phone:541-257-5500
Mailing Address - Fax:541-286-4140
Practice Address - Street 1:4185 SW RESEARCH WAY STE 110
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-1783
Practice Address - Country:US
Practice Address - Phone:541-257-5500
Practice Address - Fax:541-286-4140
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2735101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional