Individual provider · Type 1 NPI

Justin D. Glose, LPC, CEAP

Professional Counselor · O Fallon, MO

NPI number 1174038087 Active

Practice location

7827 Town Square Ave Ste 104-1176
O Fallon, MO 63368-7197

Call (314) 527-0713 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2016010237 (MO)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1174038087

Justin D. Glose, LPC, CEAP's National Provider Identifier is 1174038087, issued on Dec 14, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in O Fallon, MO. The record was last updated on Feb 15, 2022.