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Individual

JOHN GLABERE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC & MHRT-C

Contact information

Practice address
1 EDGEMONT DR, PRESQUE ISLE, ME 04769-2036
(207) 764-3319
(207) 768-5377
Mailing address
1 EDGEMONT DR, PRESQUE ISLE, ME 04769-2036
(207) 764-3319
(207) 768-5377

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4112
ME
101YM0800X
Mental Health Counselor
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103820000
MAINECARE
ME
Enumeration date
02/22/2008
Last updated
06/25/2008
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