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Glenn B Longie, LAC
Addiction (Substance Use Disorder) Counselor in Rolla, North Dakota
NPI 1992912554

Glenn B Longie is an Addiction (Substance Use Disorder) Counselor based in Devils Lake, ND and is specialized in Addiction (Substance Use Disorder). Glenn B Longie practices in Rolla, ND and has the professional credentials of LAC. The NPI Number for Glenn B Longie is 1992912554 and holds a License No. 1514 (North Dakota).

The current practice location address for Glenn B Longie is 113 Main Ave E, Rolla, ND and can be reached out via phone at 701-477-8272 and via fax at 701-477-8281.

Location: 113 Main Ave E, Rolla, ND, 58301-0650
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Provider Profile Details
NPI Number
1992912554
Provider Name
Glenn B Longie
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
113 Main Ave E, Rolla, ND, 58301-0650
Phone Number
701-477-8272
Fax Number
701-477-8281
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054518 05 ND
institution
Provider Business Practice Location Address Details
Address
113 Main Ave E
City
State
Zip
58367
Phone Number
701-477-8272
Fax Number
701-477-8281
person
Provider Business Mailing Address Details
Address
113 Main Ave E
City
State
Zip
58367
Phone Number
701-477-8272
Fax Number
701-477-8281
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1514 (North Dakota)
Definition
Definition to come...
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