Individual
MR. KENNETH LENSFORD GLOVER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDC2
Contact information
Practice address
64 2ND AVE, ALBANY, NY 12202-1240
(518) 449-5170
Mailing address
15A OLD HICKORY DR APT 1B, ALBANY, NY 12204-1129
(518) 330-5544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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