Individual
JANA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
544 MEDLOCK RD, SUITE 112, DECATUR, GA 30030-1515
(404) 307-4917
(404) 892-8334
Mailing address
244 13TH ST NE, #219, ATLANTA, GA 30309-7646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC #003501
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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