Whalio Doctors

NPI 1003107301

Shirley Glenn, ASSOCIATES

Practitioner Addiction (Substance Use Disorder) Counselor Highland Park, MI

Practice location

Address
12501 Hamilton, Highland Park, MI 48203
Phone
(313) 587-3092
Mailing address
PO Box 725098, Berkley, MI 48072-5098

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Registry record

NPI
1003107301
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Apr 2011
Record last updated
21 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.