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Contact Information

MARY E GLASS, LMHC, CRCC
6820 PORTO FINO CIRCLE
SUITE 1
FORT MYERS, FL33912-7133
 Phone: 239-225-1364
 Fax: 239-225-7337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY E GLASS · (Female)

NPI # 1013265933
Status Active
Credentials LMHC, CRCC
Entity Individual
Enumeration date 08/27/2012
Last updated 08/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # MH2377
  • IL License # CRC00005090
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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