Individual provider · Type 1 NPI

Alex Michael Glickman

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1336885250 Active

Practice location

291 Smith Ranch Rd
San Rafael, CA 94903-2093

Call (415) 492-0818 Map

Mailing address

PO Box 2281
San Rafael, CA 94912-2281

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1336885250

Alex Michael Glickman's National Provider Identifier is 1336885250, issued on May 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on May 12, 2022.