Individual
GLENN DALE HARSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8424 PORTMARNOCK CT, WAKE FOREST, NC 27587-9419
(919) 761-9597
(919) 212-8640
Mailing address
8424 PORTMARNOCK CT, WAKE FOREST, NC 27587-9419
(919) 761-9597
(919) 212-8644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342249
GROUP MEDICARE
NC
Enumeration date
06/08/2006
Last updated
07/08/2007
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