Individual
AVERIE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R-DMT, LPC
Contact information
Practice address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(425) 640-7009
Mailing address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(425) 640-7009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6917
OR
Other
Enumeration date
01/07/2021
Last updated
02/24/2025
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