Glose, Rebecca

Glose, Rebecca is an individual health care provider with primary practice located at 720 14Th Avenue , Longview WA 98632. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Glose, Rebecca can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
720 14Th Avenue Longview WA 98632
Phone: (360) 423-0203
Fax: (360) 423-5086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60733947 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1326585100
LBN Legal business name Glose, Rebecca
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2017
Last updated Feb 10th, 2023 - about 3 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 1326585100 NPPES
Washington MEDICAID 2107795

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