Individual
CHRISTOPHER GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1400 N NORMA ST STE 133, RIDGECREST, CA 93555-2577
(760) 499-2363
Mailing address
1400 N NORMA ST STE 133, RIDGECREST, CA 93555-2577
(760) 499-2363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC20091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-100994
RBT
—
Enumeration date
01/08/2020
Last updated
08/26/2025
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