Individual
MR. JUSTIN D GLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CEAP
Contact information
Practice address
7827 TOWN SQUARE AVE STE 104-1176, O FALLON, MO 63368-7197
(314) 527-0713
Mailing address
7827 TOWN SQUARE AVE STE 104-1176, O FALLON, MO 63368-7197
(314) 527-0713
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016010237
MO
Other
Enumeration date
12/14/2017
Last updated
02/15/2022
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