Individual
GLENDA STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
3057 S LEGACY PARK BLVD, INDIAN LAND, SC 29707-7816
(704) 222-7718
(809) 431-7192
Mailing address
3057 S LEGACY PARK BLVD, INDIAN LAND, SC 29707-7816
(704) 222-7718
(809) 431-7192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22051
NC
101YM0800X
Mental Health Counselor
22051
NC
101YP2500X
Professional Counselor
22051
NC
Other
Enumeration date
05/07/2016
Last updated
12/20/2021
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