Individual
MS. AUTUMN NECHELE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 ANGELES VISTA BLVD, LOS ANGELES, CA 90043
(323) 295-4555
(323) 295-3021
Mailing address
5300 ANGELES VISTA BLVD, LOS ANGELES, CA 90043
(323) 295-4555
(323) 295-3021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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