Individual provider · Type 1 NPI
Carla Diandre Glasgow
Mental Health Counselor · Port St. Lucie, FL
NPI number
1730783010
Active
Practice location
8350 Mulligan Cir
Port St. Lucie, FL 34986-3280
Mailing address
PO Box 880591
Port St. Lucie, FL 34988-0591
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 1730783010
Carla Diandre Glasgow's National Provider Identifier is 1730783010, issued on Nov 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 7, 2021.