Doctor Name: | RACHEL GLASS |
NPI Number: | 1881050433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2012019340 |
Business Practice Address: | 9378 Olive Blvd Suite 318 Olivette, MO - 631323215 |
Business Phone Number: | 3143300572 |
Business Fax Number: | |
Mailing Address: | 720 Berick Dr, SAINT LOUIS |
State: | MO |
Postal Code: | 631324904 |
Phone Number: | 3143300572 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2012019340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |