Individual
GLENN WILLIAM EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
2091 PROFESSIONAL DR, SUITE I-1, FLINT, MI 48532-3657
(810) 732-1652
Mailing address
410 VICTOR DR, SAGINAW, MI 48609-5184
(989) 781-6178
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401009990
MI
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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