Jason Clark Gladden, ALC
Counselor in Decatur, AL. Individual provider (NPI-1).
NPI number1467528331
StatusActive
Last updated in NPPESSep 15, 2015
Details
- NPI
- 1467528331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Clark Gladden
- Credential
- ALC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2006
- Last updated
- Sep 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C2377A | AL | Yes |
Practice location
4110 Highway 31 SouthDecatur, AL 35601
Phone 256-260-1691 · Fax 256-341-0747
Mailing address
1316 Somerville Rd SeSuite 1
Decatur, AL 35601-4305
Phone 256-260-7361 · Fax 256-341-0747
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