Provider Demographics
NPI:1295945400
Name:GLOVER, LA TONYA
Entity type:Individual
Prefix:
First Name:LA TONYA
Middle Name:
Last Name:GLOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 E ROMIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3123
Mailing Address - Country:US
Mailing Address - Phone:831-755-7870
Mailing Address - Fax:831-755-7875
Practice Address - Street 1:43 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3123
Practice Address - Country:US
Practice Address - Phone:831-755-7870
Practice Address - Fax:831-755-7875
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor