Individual
GLEN EDWARD CASSLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 DESOTO TRAIL, SYLVA, NC 28779-6308
(828) 586-8958
(828) 586-0649
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 873-1011
(704) 832-2253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC 2679
NC
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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