Individual provider · Type 1 NPI

Mikayla Nicole Glenn

Addiction (Substance Use Disorder) Counselor · Greenville, SC

NPI number 1659092583 Active

Practice location

1400 Cleveland St
Greenville, SC 29607-2410

Call (864) 467-3790 Map

Mailing address

503 Chestnut St
Clinton, SC 29325-3017

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1659092583

Mikayla Nicole Glenn's National Provider Identifier is 1659092583, issued on Sep 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, SC. The record was last updated on Sep 8, 2022.