Individual
DANIEL TODD GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 BEAUTY AVE, BOWLING GREEN, KY 42101-6135
(270) 599-1034
Mailing address
115 SMITHFIELD RD, SHELBYVILLE, KY 40065-1943
(502) 321-8290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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