MR. Glen Alan Ensinger, MSED
NPI #1205144466 in Canon City, Colorado
Provider Information
- NPI Number
- 1205144466
- Entity Type
- Individual
- Name
- MR. Glen Alan Ensinger, MSED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MSED
- Enumeration Date
- Sep 21, 2010
- Last Updated
- May 9, 2024
Practice Location
- Address
- 1338 PHAY AVE
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2311
- Phone
- (309) 221-5602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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