MR. Justin D Glose, LPC, CEAP

NPI #1174038087 in O Fallon, Missouri

Provider Information

NPI Number
1174038087
Entity Type
Individual
Name
MR. Justin D Glose, LPC, CEAP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC, CEAP
Enumeration Date
Dec 14, 2017
Last Updated
Feb 15, 2022

Practice Location

Address
7827 TOWN SQUARE AVE STE 104-1176
ZIP Code
63368-7197
Phone
(314) 527-0713

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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