Individual
GLENN TANNER SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3535 MARKET ST STE 1230, PHILADELPHIA, PA 19104-3309
(610) 892-3800
Mailing address
3535 MARKET ST STE 1230, PHILADELPHIA, PA 19104-3309
(610) 892-3800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC013073
PA
101YP2500X
Professional Counselor
PC013073
PA
Other
Enumeration date
08/23/2021
Last updated
03/28/2024
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