Individual
MRS. CONNIE MARIE GLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
501 EAST 2ND ST, HEAVENER, OK 74937
(918) 653-7718
(918) 653-7279
Mailing address
40479 MORRIS CREEK RD, HOWE, OK 74940-7364
(918) 658-3891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
599
OK
101YM0800X
Mental Health Counselor
599
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
599
LPC
OK
Enumeration date
04/26/2007
Last updated
09/11/2025
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