Provider Demographics
NPI:1548576150
Name:GLABB, VICKI (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:GLABB
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 ASH BREEZE CV
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32095-0045
Mailing Address - Country:US
Mailing Address - Phone:724-312-9988
Mailing Address - Fax:
Practice Address - Street 1:260 ASH BREEZE CV
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-0045
Practice Address - Country:US
Practice Address - Phone:724-312-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor