Individual
MS. BETTY GLANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3144 NE 42ND AVE, PORTLAND, OR 97213-1119
(503) 281-0084
Mailing address
3144 NE 42ND AVE, PORTLAND, OR 97213-1119
(503) 281-0084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
967 LCPC
MT
101YP2500X
Professional Counselor
CO 555
OR
Other
Enumeration date
06/21/2009
Last updated
06/21/2009
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