Individual
BRANDIE DENISE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-8633
(323) 244-5087
Mailing address
204 HAMPTON DR, VENICE, CA 90291-8633
(323) 244-5087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
139219
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/22/2020
Last updated
06/21/2023
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