Individual
LAURA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
200 OFFICE PARK DR STE 215, MOUNTAIN BRK, AL 35223-2455
(334) 245-9850
Mailing address
2026 E 4TH ST, MONTGOMERY, AL 36106-1621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04743
AL
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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