Individual provider · Type 1 NPI

Ellen Marie Glaze, MS

Addiction (Substance Use Disorder) Counselor · San Pablo, CA

NPI number 1184768103 Active

Practice location

1515 Market Ave
San Pablo, CA 94806-4357

Call (510) 232-7571 Map

Fax (510) 235-2545

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184768103

Ellen Marie Glaze, MS's National Provider Identifier is 1184768103, issued on Feb 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pablo, CA. The record was last updated on Nov 3, 2010.