Individual
DR. CA TRICE B. GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
145 AUTRY ST, NORCROSS, GA 30071-1919
(770) 464-5123
Mailing address
3000 OLD ALABAMA RD, SUITE 119-109, JOHNS CREEK, GA 30022-5860
(770) 464-5123
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
APC001682
GA
101YP2500X
Professional Counselor
Primary
LPC006136
GA
101YS0200X
School Counselor
—
—
Other
Enumeration date
12/20/2007
Last updated
09/04/2014
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