Individual
BARBARA C GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
155 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(410) 604-0226
(877) 643-0126
Mailing address
155 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(410) 604-0226
(877) 643-0126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP5046
MD
101YP2500X
Professional Counselor
Primary
LC6123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
MHN
MD
01
—
517251
OPTUM
MD
05
—
520202701
—
MD
05
—
520202703
—
MD
01
—
522156095
APS
MD
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550005
—
MD
01
—
7840093
AETNA
MD
01
—
R968
CAREFIRST
MD
Enumeration date
05/21/2013
Last updated
06/03/2019
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