MS. MISTY ANNE GLENN CDPT NPI 1396273637

NPI Information

  • NPI: 1396273637
  • Provider Name: MS. MISTY ANNE GLENN, CDPT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 121 NW CHEHALIS AVE
    CHEHALIS, WA
    ZIP 98532
  • Phone: (360) 740-9767

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NPI Details

MS. Misty Anne Glenn, CDPT is an addiction (substance use disorder) counselor in Chehalis, WA. MS. Misty Anne Glenn, CDPT NPI is 1396273637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 NW CHEHALIS AVE
CHEHALIS, WA
ZIP 98532
Phone: (360) 740-9767
Fax: (360) 740-5484

The enumeration date for this NPI number is 5/31/2017 and was last updated on 5/31/2017.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)60701395WASHINGTONYes

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: 11/21/2025

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