| Doctor Name: | CHARLENE L GLOVER |
| NPI Number: | 1063567618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPCC |
| License Number: | 0090861 |
| Business Practice Address: | 6984 Angela Dr Ne Rio Rancho, NM - 871440864 |
| Business Phone Number: | 5053668437 |
| Business Fax Number: | |
| Mailing Address: | 6984 Angela Dr Ne, RIO RANCHO |
| State: | NM |
| Postal Code: | 871440864 |
| Phone Number: | 5053668437 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0090861 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |