Individual
DANIEL LOUIS GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4914 NORTHFORK DR, PEARLAND, TX 77584-8612
(832) 866-9513
Mailing address
4914 NORTHFORK DR, PEARLAND, TX 77584-8612
(832) 866-9513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17175
TX
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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