Individual
MAEGAN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHCA, NCC
Contact information
Practice address
1308 N MAIN ST, CROWN POINT, IN 46307-2719
(219) 301-0206
Mailing address
2511 FAIRVEIW AVE, LAKE STATION, IN 46405
(219) 301-0206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000999A
IN
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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