Individual provider · Type 1 NPI

Glenn Douglas Smith, MS, LPCC, LADC

Mental Health Counselor · Minneapolis, MN

NPI number 1447564869 Active

Practice location

1313 Penn Ave N
Minneapolis, MN 55411-3047

Fax (612) 302-4872

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X41-1303326 (MN)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1447564869

Glenn Douglas Smith, MS, LPCC, LADC's National Provider Identifier is 1447564869, issued on Jul 27, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 3, 2020.