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MS. VIRGINIA A GLAUB LMHC

Addiction Substance Use Disorder

South Bend, Indiana

Provider NPI: 1184612004

Provider Information:
MS. VIRGINIA A GLAUB LMHC
Gender: F


Practice Location:
105 E JEFFERSON BLVD SUITE 700 SOUTH BEND, IN 46601 US
Tel: 574-232-2255  Fax: 574-287-9377

Business Mailing Address:
105 E JEFFERSON BLVD SUITE 700 SOUTH BEND, IN 46601 US
Tel: 574-232-2255  Fax: 574-287-9377

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IN39001193A

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM000000368749IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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