MR. JUSTIN D GLOSE LPC, CEAP
NPI 1174038087
Counselor - Professional in O Fallon, MO
- Individual
- Male
- Counselor
- Professional
About JUSTIN GLOSE
This page provides the complete NPI Profile along with additional information for Justin Glose, a provider established in O Fallon, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1174038087 assigned on December 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 2016010237 (MO). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1174038087 Verify this NPI
- Provider Name
- MR. JUSTIN D GLOSE LPC, CEAP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7827 TOWN SQUARE AVE STE 104-1176 O FALLON, MO 63368
- Location Phone
- (314) 527-0713
- Mailing Address
- 7827 TOWN SQUARE AVE STE 104-1176 O FALLON, MO 63368
- Mailing Phone
- (314) 527-0713
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-14-2017
- Last Update Date
- 02-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2016010237
- License State
- MO
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
O FALLON, MO 63368
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174038087, enumerated as an "individual" on December 14, 2017.
The provider is located at 7827 TOWN SQUARE AVE STE 104-1176 O FALLON, MO 63368 and the phone number is (314) 527-0713.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
