Organization · Type 2 NPI

Lynessa Glass, Inc.

Professional Counselor · Virginia Beach, VA

NPI number 1366565954 Active

Practice location

4356 Bonney Rd, Building 1, Suite 101
Virginia Beach, VA 23452-1200

Fax (757) 498-3311

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701002709 (VA)
Marriage & Family Therapist 106H00000X0717000634 (VA)

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About NPI 1366565954

Lynessa Glass, Inc.'s National Provider Identifier is 1366565954, issued on Apr 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 30, 2014.