| Doctor Name: | MS. CHRISTINA GLENN |
| NPI Number: | 1548691272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CASAC |
| License Number: | 6062 |
| Business Practice Address: | 140 Route 303 Valley Cottage, NY - 10989 |
| Business Phone Number: | 8452672172 |
| Business Fax Number: | 8452672174 |
| Mailing Address: | 25 Lewis St, LIBERTY |
| State: | NY |
| Postal Code: | 127541400 |
| Phone Number: | 8457987984 |
| Fax Number: | 8452672174 |
| NPI Enumeration Date: | 12/05/2013 |
| NPI Last Update Date: | 12/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |