Individual
GLENDA LOUISE VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
127 NESMITH PL, FREEPORT, TX 77541-8996
(979) 201-6867
Mailing address
127 NESMITH PL, FREEPORT, TX 77541-8996
(979) 201-6867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19933
TX
Other
Enumeration date
05/13/2007
Last updated
03/18/2008
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