Individual
GLENN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
9 KINDLE CT, CLAYTON, NJ 08312-2158
(215) 518-2827
Mailing address
1451 CHEWS LANDING RD STE 202, CLEMENTON, NJ 08021-2766
(215) 518-2827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00560000
NJ
101YP2500X
Professional Counselor
PC-0000711
DE
101YP2500X
Professional Counselor
PC008809
PA
Other
Enumeration date
09/25/2016
Last updated
08/12/2025
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