Individual
GLENN JOHN DORMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-A
Contact information
Practice address
24 HAMILTON ST, SARATOGA SPRINGS, NY 12866-4226
(518) 886-5600
Mailing address
24 HAMILTON ST, SARATOGA SPRINGS, NY 12866-4226
(518) 886-5600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22586
CASAC
NY
Enumeration date
11/13/2025
Last updated
11/13/2025
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