| Dorothy A. Glasse, M. Ed | |
|
6129 Remington Lake Dr Raleigh NC 27616-6233 | |
| (919) 875-1374 | |
| (919) 954-7051 |
| Full Name | Dorothy A. Glasse, M. Ed |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6129 Remington Lake Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Dorothy Ann Glasse (DIRECTOR, OUT-PATIENT THERAPIST) |
| Authorized Official Contact | 9198751374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy A. Glasse, M. Ed 6129 Remington Lake Dr Raleigh NC 27616-6233 Ph: (919) 875-1374 | Dorothy A. Glasse, M. Ed 6129 Remington Lake Dr Raleigh NC 27616-6233 Ph: (919) 875-1374 |
| NPI Number | 1235352717 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235352717 | NPI | - | NPPES |
| 141VT | Other | NC | INDEPENDENT MENTAL HEALTH |
| 8268 | Other | NC | PREFERRED PROVIDER |
| 6102252 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2365 (North Carolina) | Primary |
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