Individual
MS. LISA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MED, NCC
Contact information
Practice address
199 ARMOUR DR NE STE E, ATLANTA, GA 30324-3975
(404) 617-1850
Mailing address
199 ARMOUR DR NE STE E, ATLANTA, GA 30324-3975
(404) 617-1850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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