Individual provider · Type 1 NPI

Mary K. Glenn, SAC

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1689897860 Active

Practice location

8809 John C. Lodge Service Drive, Building #5
Detroit, MI 48202

Call (313) 887-6721 Map

Mailing address

3279 Pingree St
Detroit, MI 48206-2103

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689897860

Mary K. Glenn, SAC's National Provider Identifier is 1689897860, issued on Apr 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.