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Individual

ASHLEY MICHELLE GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4388 KATELLA AVE, LOS ALAMITOS, CA 90720-3565
(562) 594-8844
(562) 594-8844
Mailing address
974 S SARAH WAY, ANAHEIM, CA 92805-5642
(714) 683-8761

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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