Individual provider · Type 1 NPI

Glennon Charles Doherty, M.ED., LPC

Mental Health Counselor · Kirkwood, MO

NPI number 1003939323 Active

Practice location

214 S Clay Ave, Apt. 3
Kirkwood, MO 63122-4215

Call (314) 849-2989 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X002525 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1003939323

Glennon Charles Doherty, M.ED., LPC's National Provider Identifier is 1003939323, issued on Apr 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kirkwood, MO. The record was last updated on Jul 8, 2007.