Individual
GLENN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACII
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
(803) 531-8419
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
(803) 531-8419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1204271
SC
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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