Individual provider · Type 1 NPI

James Dexter Glover, SUDRC

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1386529238 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

213 Phillip Ct
Modesto, CA 95350-3524

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-YKQVPF (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20800 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386529238

James Dexter Glover, SUDRC's National Provider Identifier is 1386529238, issued on Aug 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Nov 5, 2025.