Glenna, Deborah Jean
Glenna, Deborah Jean is an individual health care provider with primary practice located at 542 Parkwood Way , Jonesboro GA 30236-1326. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Glenna, Deborah Jean can be contacted via phone (770) 460-0970.Contact Information
Primary practice address
542 Parkwood Way
Jonesboro GA 30236-1326
Phone: (770) 460-0970
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 008554 | Georgia |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1646-R | Georgia |
Profile Details
NPI number | 1225258718 |
---|---|
LBN Legal business name | Glenna, Deborah Jean |
Credentials | LPC, CPCS, MAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2007 |
Last updated | Apr 26th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225258718 | NPPES |
Georgia | Other | LPC008554 | 582098758 |
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