Individual provider · Type 1 NPI
Michael Glendon
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1861663619
Active
Practice location
1046 Fairfield Avenue
Bridgeport, CT 06605-1116
Fax (203) 331-4716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1861663619
Michael Glendon's National Provider Identifier is 1861663619, issued on Mar 20, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 20, 2008.