Individual provider · Type 1 NPI

Kennedy Ann Glass

Addiction (Substance Use Disorder) Counselor · Siler City, NC

NPI number 1407580400 Active

Practice location

1105 E Cardinal St
Siler City, NC 27344-3300

Mailing address

248 Executive Park Dr, Ste 100
Concord, NC 28025-1833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP017726 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-28246 (NC)

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

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About NPI 1407580400

Kennedy Ann Glass's National Provider Identifier is 1407580400, issued on Jul 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Siler City, NC. The record was last updated on Aug 24, 2022.