Individual
MRS. ETHEL M GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
, MS, LMFT
Contact information
Practice address
162 CLAIRE PL, TALBOTT, TN 37877-1704
(423) 353-0322
Mailing address
162 CLAIRE PL, TALBOTT, TN 37877-1704
(423) 353-0322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
2180
TN
Other
Enumeration date
07/31/2020
Last updated
05/31/2023
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