Individual
DR. GERALDINE J GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1660 OLD PECOS TRL, SUITE C, SANTA FE, NM 87505-4779
(505) 424-7840
Mailing address
2331 CALLE LUMINOSO, SANTA FE, NM 87505-5609
(505) 424-7840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3262
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B6295
—
NM
Enumeration date
07/20/2011
Last updated
07/20/2011
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