Individual
GABRIELLE SHAWNTA' GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LPC, LCMHCHA
Contact information
Practice address
10150 MALLARD CREEK RD STE 509, CHARLOTTE, NC 28262-9708
(980) 308-4500
Mailing address
5821 FAIRVIEW RD STE 101, CHARLOTTE, NC 28209-5601
(980) 308-4500
(980) 458-6037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20519
NC
Other
Enumeration date
03/11/2021
Last updated
07/17/2025
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