Individual
MICHAEL GLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1046 FAIRFIELD AVENUE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Mailing address
1046 FAIRFIELD AVENUE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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