Doctor Name: | GLENDY AFRICANO |
NPI Number: | 1851779813 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1981 |
Business Practice Address: | 198 Pleasant St Hinton, WV - 259512538 |
Business Phone Number: | 3044663899 |
Business Fax Number: | 3044663899 |
Mailing Address: | 121 Temple St, HINTON |
State: | WV |
Postal Code: | 259512430 |
Phone Number: | 3044663899 |
Fax Number: | 3044665548 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |