Individual provider · Type 1 NPI
Georgia Glazebrook
Professional Counselor · Tualatin, OR
NPI number
1174094890
Active
Practice location
19960 SW 112th Ave
Tualatin, OR 97062-7626
Mailing address
PO Box 31
Salina, KS 67402-0031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC04149 (KS) |
| Professional Counselor | 101YP2500X | C10211 (OR) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1174094890
Georgia Glazebrook's National Provider Identifier is 1174094890, issued on Dec 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tualatin, OR. The record was last updated on Dec 4, 2025.