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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 41-1303326 (MN) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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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.