Glenn, Grover

Glenn, Grover is an individual health care provider with primary practice located at 2700 S 8Th Ave , Tucson AZ 85713-4730. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Glenn, Grover can be contacted via phone (520) 618-8622.

Contact Information

Primary practice address
2700 S 8Th Ave Tucson AZ 85713-4730
Phone: (520) 618-8622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC11140 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC10259 Arizona

Profile Details

NPI number 1083985469
LBN Legal business name Glenn, Grover
Credentials LPC, LISAC, CPHQ
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Feb 27th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083985469 NPPES
Arizona Other LPC-11140 COUNSELING LICENSE
Arizona Other LISAC-10259 COUNSELING LICENSE

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