Individual
GLYNDORA SPRING CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CTMH, CCTP,
Contact information
Practice address
1510 STUART RD NE STE 101, CLEVELAND, TN 37312-5869
(423) 790-4906
(423) 790-7074
Mailing address
241 LAKEWOOD CIRCLE DR, DECATUR, TN 37322-8243
(423) 790-4906
(423) 790-7074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC3583
TN
Other
Enumeration date
08/03/2016
Last updated
08/14/2024
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