Healthcare Provider Details

I. General information

NPI: 1477006815
Provider Name (Legal Business Name): CATHRYN ANA GLENDAY MPH, MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIANNA CATHRYN GLENDAY MPH, MA

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 SAN PEDRO DR NE BLDG C
ALBUQUERQUE NM
87110-8900
US

IV. Provider business mailing address

PO BOX 8946
ALBUQUERQUE NM
87198-8946
US

V. Phone/Fax

Practice location:
  • Phone: 505-369-6756
  • Fax:
Mailing address:
  • Phone: 505-264-4082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0203791
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: