Individual provider · Type 1 NPI

Brandie Denise Glass

Mental Health Counselor · Venice, CA

NPI number 1194312207 Active

Practice location

204 Hampton Dr
Venice, CA 90291-8633

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Marriage & Family Therapist 106H00000X139219 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194312207

Brandie Denise Glass's National Provider Identifier is 1194312207, issued on Dec 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Venice, CA. The record was last updated on Jun 21, 2023.