ALEX MICHAEL GLICKMAN NPI 1336885250

NPI Information

NPI: 1336885250
Provider Name: ALEX MICHAEL GLICKMAN
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
291 SMITH RANCH RD
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 492-0818
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Alex Michael Glickman is an addiction (substance use disorder) counselor in San Rafael, CA. Alex Michael Glickman NPI is 1336885250. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

291 SMITH RANCH RD
SAN RAFAEL, CA
ZIP 94903-093
Phone: (415) 492-0818

The enumeration date for this NPI number is 5/12/2022 and was last updated on 5/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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