Individual
CARISSA T GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1540
Mailing address
850 N CENTER AVE APT 36M, ONTARIO, CA 91764-4852
(909) 292-3260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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