Individual
LAUREN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SW 13TH ST, BEND, OR 97702-3184
(541) 388-8459
Mailing address
1760 NW 12TH ST APT 2, BEND, OR 97703-1690
(206) 605-3995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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