Individual
MRS. KATHERINE HOWARD GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5603 B NEW GARDEN VILLAGE DRIVE, GREENSBORO, NC 27410
(336) 272-8090
Mailing address
5603 B NEW GARDEN VILLAGE DR., GREENSBORO, NC 27410
(336) 272-8090
(336) 272-0094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS650
NC
101YP2500X
Professional Counselor
Primary
704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102104
—
NC
Enumeration date
09/06/2006
Last updated
01/17/2013
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