Provider Demographics
NPI:1942844683
Name:GLENN, HANNAH CATHRYN (MA, NCC, LPC-A)
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:CATHRYN
Last Name:GLENN
Suffix:
Gender:F
Credentials:MA, NCC, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10826 KINGFISHER DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-9631
Mailing Address - Country:US
Mailing Address - Phone:980-239-0229
Mailing Address - Fax:
Practice Address - Street 1:322 LAMAR AVE STE 220
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2436
Practice Address - Country:US
Practice Address - Phone:980-237-0431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health