MRS. Genevra Diana Glenn

NPI #1861810244 in Banning, California

Provider Information

NPI Number
1861810244
Entity Type
Individual
Name
MRS. Genevra Diana Glenn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Apr 2, 2014
Last Updated
Apr 2, 2014

Practice Location

Address
2781 W RAMSEY
Address 2
SUITE 1
ZIP Code
92220
Phone
(951) 849-3896

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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