Individual
MS. CATHERINE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC-I
Contact information
Practice address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(912) 398-1538
Mailing address
10348 PARK RD, CHARLOTTE, NC 28210-8507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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