| Doctor Name: | GLEN EDWARD CASSLE |
| NPI Number: | 1134469125 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | CSAC 2679 |
| Business Practice Address: | 151 Desoto Trail Sylva, NC - 287796308 |
| Business Phone Number: | 8285868958 |
| Business Fax Number: | 8285860649 |
| Mailing Address: | Po Box 1, BARIUM SPRINGS |
| State: | NC |
| Postal Code: | 280100001 |
| Phone Number: | 7048731011 |
| Fax Number: | 7048322253 |
| NPI Enumeration Date: | 02/27/2013 |
| NPI Last Update Date: | 02/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CSAC 2679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |