Organization
LYNESSA GLASS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNESSA GLASS LPC LMFT (DIRECTOR)
(757) 717-0605
Entity
Organization
Contact information
Practice address
4356 BONNEY RD, BUILDING 1, SUITE 101, VIRGINIA BEACH, VA 23452-1200
(757) 717-0605
(757) 498-3311
Mailing address
4356 BONNEY RD, BUILDING 1, SUITE 101, VIRGINIA BEACH, VA 23452-1200
(757) 717-0605
(757) 498-3311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002709
VA
106H00000X
Marriage & Family Therapist
0717000634
VA
Other
Enumeration date
04/09/2007
Last updated
09/30/2014
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