Individual
NATHAN DONALD GLADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
130 HAMPTON CIR, SUITE 100, ROCHESTER HILLS, MI 48307-4195
(248) 853-0750
(248) 853-0792
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
(248) 858-7201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
03/05/2007
Last updated
07/08/2007
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