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Contact Information

GLENN M CLARE, NCACI, SAP, CDCS
30881 EKLUTNA LAKE RD
CHUGIAK, AK99567-5166
 Phone: 907-223-4366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GLENN M CLARE · (Male)

NPI Number 1184219958
Status Active
Credentials NCACI, SAP, CDCS
Entity Individual
Enumeration date 03/04/2021
Last updated 05/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 4153
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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