Glasco, Connie Marie

Glasco, Connie Marie is an individual health care provider with primary practice located at 501 East 2Nd St , Heavener OK 74937. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Glasco, Connie Marie can be contacted via phone (918) 653-7718.

Contact Information

Primary practice address
501 East 2Nd St Heavener OK 74937
Phone: (918) 653-7718
Fax: (918) 653-7279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 599 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 599 Oklahoma

Profile Details

NPI number 1790905107
LBN Legal business name Glasco, Connie Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790905107 NPPES
Oklahoma Other 599 LPC

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