Individual
MR. GLENN A HENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 N PLEASANT AVE, JACOBUS, PA 17407-1239
(717) 227-9997
Mailing address
P.O. BOX 66, GLEN ROCK, PA 17327
(717) 227-9997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004313
PA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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