# CONNIE GLENN, LMFT, INDIVIDUAL AND FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477265742
- **Authorized official:** MS. CONNIE GLENN LMFT (OWNER)
- **Authorized official phone:** (760) 282-4252

## Contact information

- **Practice address:** 990 HIGHLAND DR STE 314, SOLANA BEACH, CA 92075-2438
- **Practice address phone:** (760) 282-4252
- **Mailing address:** 991 LOMAS SANTA FE DR, SUITE C \#462, SOLANA BEACH, CA 92075
- **Mailing address phone:** (760) 282-4252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 12/19/2022