Individual provider · Type 1 NPI

Glenn Edward Rock, RADT-1

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1780168567 Active

Practice location

3767 Central Ave
San Diego, CA 92105-2599

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1780168567

Glenn Edward Rock, RADT-1's National Provider Identifier is 1780168567, issued on Sep 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Sep 18, 2018.