Smith, Glenn Douglas

Smith, Glenn Douglas is an individual health care provider with primary practice located at 1313 Penn Ave N , Minneapolis MN 55411-3047. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Glenn Douglas can be contacted via phone (612) 543-3742.

Contact Information

Primary practice address
1313 Penn Ave N Minneapolis MN 55411-3047
Phone: (612) 543-3742
Fax: (612) 302-4872
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 41-1303326 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1447564869
LBN Legal business name Smith, Glenn Douglas
Credentials MS, LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Jan 3rd, 2020 - about 6 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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