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

Glenn Dolezal

Individual provider Peer Specialist · NPI 1194519025

Glenn Dolezal is a Peer Specialist in Sparks, Nevada. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1755 Sullivan Ln
Sparks, NV 89431-2815
Phone: (775) 460-2041
Fax: (775) 460-2079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1194519025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address1755 Sullivan Ln, Sparks, NV 89431-2815

Other providers in Sparks