Individual provider · Type 1 NPI
Anita Glenn-Reller
Mental Health Counselor · Luke Afb, AZ
NPI number
1679676571
Active
Practice location
317 Lightning Ave
Luke Afb, AZ 85309
Mailing address
13327 N 152nd Ave
Surprise, AZ 85379-9119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2817 (OR) |
Mental Health Counselor: Definition to come...
About NPI 1679676571
Anita Glenn-Reller's National Provider Identifier is 1679676571, issued on Sep 6, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Luke Afb, AZ. The record was last updated on Jul 8, 2007.