Individual provider · Type 1 NPI

Glenn Walter Deveney, CADC I

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1164905253 Active

Practice location

920 SW Emkay Dr Ste 104
Bend, OR 97702-1043

Call (541) 383-0844 Map

Fax (541) 383-0840

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-03-13 (OR)

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

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About NPI 1164905253

Glenn Walter Deveney, CADC I's National Provider Identifier is 1164905253, issued on Sep 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Sep 1, 2021.