| Doctor Name: | MISS ALLEDA GLASS |
| NPI Number: | 1104994599 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 331 E 8th St Anniston, AL - 362075731 |
| Business Phone Number: | 2562363403 |
| Business Fax Number: | 2562386263 |
| Mailing Address: | 630 Zinn Parkway, ANNISTON |
| State: | AL |
| Postal Code: | 36201 |
| Phone Number: | 2562381420 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |