Individual
MR. GLENN N SCARBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 PINEY FOREST RD, SUITE C, DANVILLE, VA 24540-3315
(434) 792-7437
(434) 792-7434
Mailing address
1045 MAIN STREET, SUITE 5, COUNSELING AND PSYCHOLOGICAL SERVICES, LLC, DANVILLE, VA 24541-1800
(434) 792-2277
(434) 792-2279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904001696
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010268907
—
VA
Enumeration date
09/15/2006
Last updated
06/25/2014
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