Individual
GLENN WALTER DEVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
(541) 383-0840
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
(541) 383-0840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-03-13
OR
Other
Enumeration date
09/13/2018
Last updated
09/01/2021
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