Individual
MRS. ASHLEY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3313 W MOUNT COMFORT RD, FAYETTEVILLE, AR 72704-5724
(479) 263-7602
Mailing address
2958 N CASSIUS LN, FAYETTEVILLE, AR 72704-7110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A2306021
AR
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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