Individual
MS. CHRISTINA GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
140 ROUTE 303, VALLEY COTTAGE, NY 10989
(845) 267-2172
(845) 267-2174
Mailing address
25 LEWIS ST, LIBERTY, NY 12754-1400
(845) 798-7984
(845) 267-2174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6062
NY
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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