Individual
COURTNEY GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8626 LEE HWY STE 200, FAIRFAX, VA 22031-2135
(703) 560-2600
Mailing address
1344 TYDINGS RD, ANNAPOLIS, MD 21409-5729
(727) 324-3606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008001
VA
Other
Enumeration date
01/02/2019
Last updated
04/26/2021
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