Individual
JONATHAN GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCS
Contact information
Practice address
703 W 3RD AVE, #B, RED SPRINGS, NC 28377-1524
(850) 515-0220
(850) 515-0260
Mailing address
1125 PONY DR, HOPE MILLS, NC 28348-9159
(850) 515-0220
(850) 515-0260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
603368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110583
—
NC
Enumeration date
03/08/2010
Last updated
08/18/2011
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