GLENN P ORTENZIO

RALEIGH, NC
NPI1316239973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2588)
Enumeration Date2011-05-13
Last Update Date2011-05-13
Business Address
-- GLENN P ORTENZIO
211 E SIX FORKS RD STE 117
RALEIGH, NC 27609-7753
Phone number: 919-833-8899
Mailing Address
-- GLENN P ORTENZIO
211 E SIX FORKS RD STE 117
RALEIGH, NC 27609-7753
Phone number: 919-833-8899
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