Individual
RANDY S GLASSCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 SERENE LN, PLEASANT VALLEY, WV 26554
(304) 376-9693
Mailing address
2420 SERENE DR, PLEASANT VALLEY, WV 26554-0909
(304) 376-9693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2853
WV
101YM0800X
Mental Health Counselor
Primary
2853
WV
Other
Enumeration date
04/02/2024
Last updated
04/15/2026
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