Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Watson, CASAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174256911

Glen Watson, CASAC-T is an Addiction (Substance Use Disorder) Counselor in Bronx, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

764 E 176th St
Bronx, NY 10460-4606
Phone: (718) 542-8770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1174256911
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

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