Shauna Glenn
Counselor in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982306296
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1982306296
- Entity type
- Individual (NPI-1)
- Name
- Shauna Glenn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
3027 San Diego RdJacksonville, FL 32207-3691
Phone 832-392-7918
Mailing address
3027 San Diego RdJacksonville, FL 32207-3691
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