Individual
GLENN RICHARD FISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
15801 BRIXHAM HILL AVE STE 475, CHARLOTTE, NC 28277-0878
(704) 251-9084
(877) 513-7720
Mailing address
15801 BRIXHAM HILL AVE STE 475, CHARLOTTE, NC 28277-0878
(704) 251-9084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21412
NC
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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