Individual
GLENN MATTHEW CLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCACI, SAP, CDCS
Contact information
Practice address
30881 EKLUTNA LAKE RD, CHUGIAK, AK 99567-5166
(907) 223-4366
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4153
AK
Other
Enumeration date
03/04/2021
Last updated
05/01/2025
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