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Organization
RADAR, LLC
Active
Organization
RADAR, LLC
Active
Other names
RADAR Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN GLOVER MA, MA, LPCC, LADC (CLINIC DIRECTOR)
(612) 747-1127
Entity
Organization
Contact information
Practice address
2546 FRUIT FARM RD, COLLEGEVILLE, MN 56321-2700
(320) 363-2045
Mailing address
2850 ABBEY PLZ # 6044, COLLEGEVILLE, MN 56321-7700
(612) 747-1127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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