Individual
ALEX MICHAEL GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 SMITH RANCH RD, SAN RAFAEL, CA 94903-2093
(415) 492-0818
Mailing address
PO BOX 2281, SAN RAFAEL, CA 94912-2281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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