Individual
MR. BRICE DUVALL GLASSCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAS, NCAC I
Contact information
Practice address
390 YAMPA AVE, CRAIG, CO 81625-2600
(970) 824-5433
Mailing address
PO BOX 1352, MEEKER, CO 81641-1352
(970) 942-8306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACA.0007946
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021111
CO
146N00000X
Basic Emergency Medical Technician
007371
CO
Other
Enumeration date
07/20/2020
Last updated
01/11/2022
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