Walden-Glass, Jessica
Walden-Glass, Jessica is an sole proprietor health care provider with primary practice located at 800 Bonaventure Way Ste 116 , Sugar Land TX 77479-8005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Walden-Glass, Jessica can be contacted via phone (832) 757-5856.Contact Information
Primary practice address
800 Bonaventure Way Ste 116
Sugar Land TX 77479-8005
Phone: (832) 757-5856
Fax: (888) 607-8961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Texas | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 77988 | Texas |
Profile Details
| NPI number | 1639680689 |
|---|---|
| LBN Legal business name | Walden-Glass, Jessica |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2017 |
| Last updated | Feb 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639680689 | NPPES |
| Texas | MEDICAID | 394625301 |
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