KIMBERLY JAN GLENN
NPI 1023438165
Counselor in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since April 16, 2014

1121 E MCNICHOLS RD, DETROIT, MI 48203(313) 324-8900(313) 365-3098 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Jan Glenn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY JAN GLENN (NPI 1023438165) is an individual counselor in Detroit, Michigan and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1023438165

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKIMBERLY JAN GLENN

Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857

Mailing Address1121 E Mcnichols RdDetroit, MI 48203-2857 · (313) 324-8900 · Fax (313) 365-3098

Phone(313) 324-8900

Fax(313) 365-3098

Sole ProprietorNo

Enumeration DateApril 16, 2014

✔ NPI 1023438165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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's degree and clinical experience and supervision for licensure or certification.

1121 E MCNICHOLS RD, Detroit, MI 48203

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