person
Mr. Glennon Charles Doherty, MED,LPC
Mental Health Counselor in Kirkwood, Missouri
NPI 1003939323

Glennon Charles Doherty is a Mental Health Counselor based in Kirkwood, MO and is specialized in Mental Health. Glennon Charles Doherty practices in Kirkwood, MO and has the professional credentials of MED,LPC. The NPI Number for Glennon Charles Doherty is 1003939323 and holds a License No. 002525 (Missouri).

The current practice location address for Glennon Charles Doherty is 214 S Clay Ave, Kirkwood, MO and can be reached out via phone at 314-849-2989.

Location: 214 S Clay Ave, Kirkwood, MO, 63122-4215
person
Provider Profile Details
NPI Number
1003939323
Provider Name
Glennon Charles Doherty
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Male
Address
214 S Clay Ave, Kirkwood, MO, 63122-4215
Phone Number
314-849-2989
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
214 S Clay Ave
City
State
Zip
63122-4215
Phone Number
314-849-2989
Fax Number
person
Provider Business Mailing Address Details
Address
214 S Clay Ave
City
State
Zip
63122-4215
Phone Number
314-849-2989
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
002525 (Missouri)
Definition
Definition to come...
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