person
Scott Glasgow
Addiction (Substance Use Disorder) Counselor in Mount Vernon, Illinois
NPI 1104336171

Scott Glasgow is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, IL and is specialized in Addiction (Substance Use Disorder). Scott Glasgow practices in Mount Vernon, IL. The NPI Number for Scott Glasgow is 1104336171 and holds a License No. 178.011015 (Illinois).

The current practice location address for Scott Glasgow is 16338 N Il Highway 37, Mount Vernon, IL and can be reached out via phone at 618-242-1510 and via fax at 618-242-0950.

Location: 16338 N Il Highway 37, Mount Vernon, IL, 62864-8178
person
Provider Profile Details
NPI Number
1104336171
Provider Name
Scott Glasgow
Credential
Provider Entity Type
Individual
Gender
Male
Address
16338 N Il Highway 37, Mount Vernon, IL, 62864-8178
Phone Number
618-242-1510
Fax Number
618-242-0950
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649404708 05 IL
institution
Provider Business Practice Location Address Details
Address
16338 N Il Highway 37
City
State
Zip
62864-8178
Phone Number
618-242-1510
Fax Number
618-242-0950
person
Provider Business Mailing Address Details
Address
16338 N Il Highway 37
City
State
Zip
62864-8178
Phone Number
618-242-1510
Fax Number
618-242-0950
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178.011015 (Illinois)
Definition
Definition to come...
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