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NPI Code Detail

MEDICARE: MS. CHERYL YVONNE GLENN LPC

MEDICARE:  MS. CHERYL YVONNE GLENN  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401012804MI

General Provider Information

NPI Number : 1528731387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL YVONNE GLENN LPC
Provider Business Mailing Address
First Line : 9005 W OQUENDO RD APT 2017
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1520
Country : US
Telephone Number : 248-672-8882
Fax Number :
Provider Business Practice Location Address
First Line : 9005 W OQUENDO RD APT 2017
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1520
Country : US
Telephone Number : 248-672-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2021
Last Update Date : 07/28/2021

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Directions to “ MS. CHERYL YVONNE GLENN LPC” Practice Location

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