Individual
MISS ALLEDA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 E 8TH ST, ANNISTON, AL 36207-5731
(256) 236-3403
(256) 238-6263
Mailing address
630 ZINN PARKWAY, ANNISTON, AL 36201
(256) 238-1420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51043708GLA
BLUE CROSS
AL
Enumeration date
12/01/2006
Last updated
07/08/2007
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