Individual provider · Type 1 NPI

Glenda Faye Wood, CASE MANAGER

Addiction (Substance Use Disorder) Counselor · Jackson, TN

NPI number 1679693279 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Call (731) 935-8200 Map

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1679693279

Glenda Faye Wood, CASE MANAGER's National Provider Identifier is 1679693279, issued on Mar 29, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, TN. The record was last updated on Aug 21, 2009.