Individual
MS. LOUISE S GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5003 SOUTHPARK DR, SUITE 200, DURHAM, NC 27713-9414
(919) 949-1305
(919) 467-0065
Mailing address
7542 MCCRIMMON PKWY, CARY, NC 27519-1879
(919) 949-1305
(919) 467-0065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142JG
BLUE CROSS BLUE SHIELD
NC
Enumeration date
11/01/2006
Last updated
04/03/2012
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