Individual provider · Type 1 NPI

George Glaze Iii

Mental Health Counselor · Altadena, CA

NPI number 1114194800 Active

Practice location

760 West Mountain View Street
Altadena, CA 91001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114194800

George Glaze Iii's National Provider Identifier is 1114194800, issued on May 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Altadena, CA. The record was last updated on May 12, 2008.