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Individual

GLENNA MACHELLE MOJICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
149 MERCY BLVD, MOUNT ORAB, OH 45154-0296
(740) 727-2000
Mailing address
149 MERCY BLVD, MOUNT ORAB, OH 45154-0296
(937) 712-3121

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.178128
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0429499
OH
Enumeration date
01/11/2021
Last updated
10/27/2025
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