Individual
MICHAEL THOMAS GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
10097 MANCHESTER RD STE 205, SAINT LOUIS, MO 63122-1828
(314) 939-8490
Mailing address
1704 GILSINN LN, FENTON, MO 63026-2004
(314) 939-8490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017035084
MO
Other
Enumeration date
11/16/2018
Last updated
09/05/2023
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