Individual
MR. KEENAN L GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC,LCAS,CCS
Contact information
Practice address
2018 OXFORD DR, HENDERSONVILLE, NC 28792-6664
(910) 777-4817
Mailing address
2018 OXFORD DR, HENDERSONVILLE, NC 28792-6664
(910) 777-4817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1758
NC
101YP2500X
Professional Counselor
Primary
8683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112221
—
NC
Enumeration date
02/08/2011
Last updated
07/24/2022
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