Individual provider · Type 1 NPI

Shannon Glover, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1649022351 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Call (800) 829-5461 Map

Mailing address

708 Fallview Ave
Englewood, OH 45322-1812

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA187547 (OH)

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

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About NPI 1649022351

Shannon Glover, CDCA's National Provider Identifier is 1649022351, issued on Apr 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Apr 4, 2024.