Provider Demographics
NPI:1235181603
Name:GLASSCOCK-BARNES, MARTINA (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:MARTINA
Middle Name:
Last Name:GLASSCOCK-BARNES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2929
Mailing Address - Country:US
Mailing Address - Phone:828-687-7107
Mailing Address - Fax:
Practice Address - Street 1:156 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-2929
Practice Address - Country:US
Practice Address - Phone:828-687-7107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health