Individual provider · Type 1 NPI
Autumn Nechele Glass
Mental Health Counselor · Los Angeles, CA
NPI number
1194077461
Active
Practice location
5300 Angeles Vista Blvd
Los Angeles, CA 90043
Fax (323) 295-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1194077461
Autumn Nechele Glass's National Provider Identifier is 1194077461, issued on Oct 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 10, 2012.