Individual provider · Type 1 NPI

Misty Anne Glenn, CDPT

Addiction (Substance Use Disorder) Counselor · Chehalis, WA

NPI number 1396273637 Active

Practice location

121 NW Chehalis Ave
Chehalis, WA 98532

Call (360) 740-9767 Map

Fax (360) 740-5484

Mailing address

121 NW Chehalis Ave
Chehalis, WA 98531

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60701395 (WA)

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

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About NPI 1396273637

Misty Anne Glenn, CDPT's National Provider Identifier is 1396273637, issued on May 31, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chehalis, WA. The record was last updated on May 31, 2017.