Provider Demographics
NPI:1447208152
Name:DYLINA-BROWN, GLENDA DAWN (LCPC)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:DAWN
Last Name:DYLINA-BROWN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 2ND ST E
Mailing Address - Street 2:STE. #214
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6107
Mailing Address - Country:US
Mailing Address - Phone:406-257-5228
Mailing Address - Fax:
Practice Address - Street 1:17 2ND ST E
Practice Address - Street 2:STE. #214
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6107
Practice Address - Country:US
Practice Address - Phone:406-257-5228
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT756-LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional