GLENDA LOUISE VAN BUREN


Address: 127 Nesmith Pl, Freeport, TX 77541-8996
Phone: 9792016867

GLENDA LOUISE VAN BUREN (NPI# 1548475411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548475411
Entity Type Individual
Full Name GLENDA LOUISE VAN BUREN
Credential L.P.C.
Practice Address 127 Nesmith Pl
Freeport
TX 77541-8996
Practice Telephone 9792016867
Mailing Telephone 9792016867
Enumeration Date 2007-05-13
Last Update Date 2008-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
19933 TX Behavioral Health & Social Service Providers

Office Location

Street Address 127 NESMITH PL
City FREEPORT
State TX
Zip Code 77541-8996

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City FREEPORT
Zip Code 77541

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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