Individual
ALEXANDRA GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
3310 LOUISIANA ST APT 2304, HOUSTON, TX 77006-6637
(417) 693-2073
Mailing address
3310 LOUISIANA ST APT 2304, HOUSTON, TX 77006-6637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15321
TX
101YP2500X
Professional Counselor
Primary
79636
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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