Individual
GLENDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCA1
Contact information
Practice address
2367 FRIENDSHIP RD, GREENVILLE, KY 42345-3146
(270) 543-4414
Mailing address
2367 FRIENDSHIP RD, GREENVILLE, KY 42345-3146
(270) 543-4414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
293381
KY
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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