| Doctor Name: | DANIEL JOSEPH GLASS |
| NPI Number: | 1649380569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. |
| License Number: | 0244 |
| Business Practice Address: | 101 Sage Ave Mescalero, NM - 883400210 |
| Business Phone Number: | 5054644441 |
| Business Fax Number: | 5054644814 |
| Mailing Address: | Po Box 205, TULAROSA |
| State: | NM |
| Postal Code: | 883520205 |
| Phone Number: | 5055852534 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0244 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |