Individual
AMELIA DIANE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
10030 PARK CEDAR DR STE 200, CHARLOTTE, NC 28210-8901
(704) 751-7775
Mailing address
13700 SUNSET BLUFFS CIR, HUNTERSVILLE, NC 28078-0040
(704) 806-4424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19442
NC
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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