Individual
GREGORY SCOTT GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
510 BEAGLE CLUB RD, STONEVILLE, NC 27048-7509
(325) 574-0096
Mailing address
510 BEAGLE CLUB RD, STONEVILLE, NC 27048-7509
(325) 574-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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