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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225258718 NPPES
Georgia Other LPC008554 582098758

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