Individual
MS. MISTY ANNE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
121 NW CHEHALIS AVE, CHEHALIS, WA 98532
(360) 740-9767
(360) 740-5484
Mailing address
121 NW CHEHALIS AVE, CHEHALIS, WA 98531
(360) 740-9767
(360) 740-5484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60701395
WA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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