Individual
GLEN EDWARD KASTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10713 CONDOR TER, OKLAHOMA CITY, OK 73162-4444
(405) 514-1565
Mailing address
10713 CONDOR TER, OKLAHOMA CITY, OK 73162-4444
(405) 514-1565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC00332
OK
101YM0800X
Mental Health Counselor
LPC00332
OK
101YP2500X
Professional Counselor
Primary
LPC00332
OK
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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