MRS. GENEVRA DIANA GLENN (NPI# 1861810244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861810244 |
| Entity Type | Individual |
| Full Name | MRS. GENEVRA DIANA GLENN |
| Practice Address |
2781 W Ramsey Suite 1 Banning CA 92220 |
| Mailing Address |
2781 W Ramsey Banning CA 92220 |
| Practice Telephone | 9518493896 |
| Practice Fax Number | 9518490506 |
| Mailing Telephone | 9518493896 |
| Mailing Fax Number | 9518490506 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11980613 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2781 W RAMSEY SUITE 1 |
| City | BANNING |
| State | CA |
| Zip Code | 92220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| 1174833818 | Massie Andre Avant Jr. | Health Educator | 245 N. Murray St, Banning, CA 92220 | 2010-10-15 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371022 | Debra Jean Pete | Counselor | 1374 Vista Serena Ave, Banning, CA 92220-2567 | 2017-12-06 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1972813756 | Olivia Gonzalez | Counselor | 245 N. Murray St., Banning, CA 92220 | 2010-10-14 |
| 1932418449 | Christopher Ray Becerra | Counselor | 254 N Murray St, Banning, CA 92220-5512 | 2010-09-30 |
| 1336323013 | David Lee Byrd | Counselor | 245 N Murray St, Banning, CA 92220-5528 | 2007-12-18 |
| 1265624381 | Janice Cortez | Counselor | 2781 W Ramsey St Ste 1, Banning, CA 92220-3700 | 2007-08-13 |
| 1649302969 | Veronica Hammond | Counselor | 63 South 4th St., Banning, CA 92220-8183 | 2007-03-12 |
| 1144350984 | John Francis Sheehan | Counselor | 11555 Potrero Rd, Herbert Mcmichael, Ph.d., Banning, CA 92220-6946 | 2007-03-07 |
| 1124643416 | Christine F Rivas | Counselor | 628 S 8th St, Banning, CA 92220-4512 | 2020-06-11 |
| 1487142360 | Veronica Ramos-arambula | Counselor | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2018-04-26 |
| Find all providers in BANNING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.