Individual
BEVERLY E GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2264 BLUE HERON LN, EUGENE, OR 97402-1362
(541) 505-9456
(541) 505-9456
Mailing address
2264 BLUE HERON LN, EUGENE, OR 97402-1362
(541) 505-9456
(541) 505-9456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L4045
OR
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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