Individual provider · Type 1 NPI

Stephanie Ann Glacking, LICDC

Addiction (Substance Use Disorder) Counselor · Fairfield, OH

NPI number 1033766241 Active

Practice location

5108 Sandy Ln
Fairfield, OH 45014-2738

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 42 East Crescentville Drive, Cincinnati, OH 45246 · (513) 671-7117

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162433 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033766241

Stephanie Ann Glacking, LICDC's National Provider Identifier is 1033766241, issued on Aug 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, OH. The record was last updated on Jan 18, 2024.