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Organization
TRAUMA AND ADDICTIONS CENTER, PLLC
Active
Organization
TRAUMA AND ADDICTIONS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE HOWARD GLENN PH.D., LPC, LPC-S (MEMBER AND ORGANIZER)
(336) 272-8090
Entity
Organization
Contact information
Practice address
5603 B NEW GARDEN VILLAGE DR, GREENSBORO, NC 27410-8595
(336) 272-8090
(336) 272-0094
Mailing address
5603 B NEW GARDEN VILLAGE DR, GREENSBORO, NC 27410-8595
(336) 272-8090
(336) 272-0094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
650
NC
101YM0800X
Mental Health Counselor
Primary
704
NC
Other
Enumeration date
06/21/2011
Last updated
02/25/2013
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