Doctor Name: | GLORIANN P CONNOR |
NPI Number: | 1073799086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. LMFT |
License Number: | MFC 42055 |
Business Practice Address: | 400 S 2nd Ave Suite 111 Barstow, CA - 923112854 |
Business Phone Number: | 7602567279 |
Business Fax Number: | 7602567280 |
Mailing Address: | Po Box 1927, 41945 Big Bear Lake Suite 200 BIG BEAR LAKE |
State: | CA |
Postal Code: | 923151927 |
Phone Number: | 9098665070 |
Fax Number: | 9098783228 |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MFC 42055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |