Justin D Glose, LPC, CEAP Valid NPI

Individual provider · Professional Counselor · O Fallon, MO

NPI

1174038087

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

2016010237 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2017-12-14

Last updated

2022-02-15