Individual
MR. JOHN GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 866-0045
Mailing address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 866-0045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC - 4996
ID
Other
Enumeration date
05/22/2013
Last updated
02/07/2016
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