Individual
MRS. BETHANY P. GLUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LCMHC-S
Contact information
Practice address
5935 HOURGLASS CT, RALEIGH, NC 27612-3083
(919) 696-1995
Mailing address
3729 BENSON DR, RALEIGH, NC 27609-7324
(919) 858-2198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3881S
NC
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790724136
—
NC
Enumeration date
06/04/2006
Last updated
01/29/2021
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