Individual
MS. DEBORAH JEAN GLENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CPCS, MAC
Contact information
Practice address
542 PARKWOOD WAY, JONESBORO, GA 30236-1326
(770) 460-0970
Mailing address
542 PARKWOOD WAY, JONESBORO, GA 30236-1326
(678) 487-6641
(770) 999-9459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1646-R
GA
101YM0800X
Mental Health Counselor
Primary
008554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC008554
582098758
GA
Enumeration date
04/26/2007
Last updated
04/26/2024
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