Individual provider · Type 1 NPI

Glenn Kenyon

Addiction (Substance Use Disorder) Counselor · Freeville, NY

NPI number 1346169455 Active

Practice location

380 Freeville Rd
Freeville, NY 13068-9684

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 1346169455

Glenn Kenyon's National Provider Identifier is 1346169455, issued on Jul 13, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Freeville, NY. The record was last updated on Jul 13, 2026.