Individual
MS. GLENA LEE MINGLEDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5001 TROTWOOD AVE, COLUMBIA, TN 38401-5048
(931) 381-7441
Mailing address
5001 TROTWOOD AVE, COLUMBIA, TN 38401-5048
(931) 381-7441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC412
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4071811
BC/BS
TN
Enumeration date
10/10/2007
Last updated
10/10/2007
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