Individual
MS. GLENDA MARIE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, NCC
Contact information
Practice address
3820 BRIDGES ST STE B, MOREHEAD CITY, NC 28557-2979
(252) 240-1482
(252) 808-0054
Mailing address
2215 MILL CREEK RD, NEWPORT, NC 28570-6092
(252) 503-8136
(252) 808-0054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11344
NC
Other
Enumeration date
01/29/2008
Last updated
12/16/2014
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