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Alex Michael Glickman
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1336885250

Alex Michael Glickman is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Alex Michael Glickman practices in San Rafael, CA. The NPI Number for Alex Michael Glickman is 1336885250 and holds a License No. (California).

The current practice location address for Alex Michael Glickman is 291 Smith Ranch Rd, San Rafael, CA and can be reached out via phone at 415-492-0818.

Location: 291 Smith Ranch Rd, San Rafael, CA, 94912-2281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336885250
Provider Name
Alex Michael Glickman
Credential
Provider Entity Type
Individual
Gender
Male
Address
291 Smith Ranch Rd, San Rafael, CA, 94912-2281
Phone Number
415-492-0818
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
291 Smith Ranch Rd
City
San Rafael
State
California
Zip
94903-2093
Phone Number
415-492-0818
Fax Number
person
Provider Business Mailing Address Details
Address
291 Smith Ranch Rd
City
San Rafael
State
California
Zip
94903-2093
Phone Number
415-492-0818
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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