Individual
MISS BETHANY LEIGH GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
(601) 955-7518
Mailing address
127 SCOTLAND RD, CLINTON, MS 39056-4538
(601) 955-7518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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