Individual
GLENN NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 W CONE BLVD STE 100, GREENSBORO, NC 27408-4027
(336) 662-8185
(336) 665-6188
Mailing address
2307 W CONE BLVD STE 100, GREENSBORO, NC 27408-4027
(336) 662-8185
(336) 665-6188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138X0
BCBS
NC
Enumeration date
02/06/2007
Last updated
07/08/2007
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