Individual
ANDRIYA GLESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAS
Contact information
Practice address
3315 AIRWAY DR, SANTA ROSA, CA 95403-2005
(707) 523-2242
(707) 526-3817
Mailing address
3315 AIRWAY DR, SANTA ROSA, CA 95403-2005
(707) 523-2242
(707) 526-3817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
G0412231132
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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