Individual
DAVID GLEGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6610 N 47TH AVE STE 678, GLENDALE, AZ 85301-4163
(480) 826-5686
Mailing address
1830 S ALMA SCHOOL RD STE 101, MESA, AZ 85210-3086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1043
AZ
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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