| NPI | 1740905801 |
|---|---|
| Former Name | LINDSEY JO GLECKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.180045) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-08-21 |