Provider Demographics
NPI:1417729286
Name:GLESSNER, STEPHANIE ANN (LGPC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ANN
Last Name:GLESSNER
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 FAIRHOPE RD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:PA
Mailing Address - Zip Code:15538-2401
Mailing Address - Country:US
Mailing Address - Phone:814-521-8726
Mailing Address - Fax:
Practice Address - Street 1:249 HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1638
Practice Address - Country:US
Practice Address - Phone:240-362-7444
Practice Address - Fax:240-362-7388
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13948101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health