Individual provider · Type 1 NPI
David Gleghorn
Addiction (Substance Use Disorder) Counselor · Glendale, AZ
NPI number
1104308683
Active
Practice location
6610 N 47th Ave Ste 678
Glendale, AZ 85301-4163
Mailing address
1830 S Alma School Rd Ste 101
Mesa, AZ 85210-3086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-1043 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1104308683
David Gleghorn's National Provider Identifier is 1104308683, issued on Aug 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, AZ. The record was last updated on Aug 31, 2018.