Individual
GLENN HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, CADC II
Contact information
Practice address
711 KUPULAU DR, KIHEI, HI 96753-9349
(831) 325-8127
Mailing address
711 KUPULAU DR, KIHEI, HI 96753-9349
(831) 325-8127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
07/15/2019
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