Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CA |
NPI | 1003323643 |
---|---|
Provider Name | Michelle Glinski |
First Address | Santa Ana, CA 92701-4515 |
Second Address | Santa Ana, CA 92701-4515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2018 |
Last Update Date | 08/09/2021 |