Desiree Laurel Glaze, LPC S

NPI #1033875950 in Tyler, Texas

Provider Information

NPI Number: 1033875950
Entity Type: Individual
Name: Desiree Laurel Glaze, LPC S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC S
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 2003 RICKETY LN STE E
City: Tyler
State: Texas
ZIP Code: 75703-1704
Phone: (903) 330-0601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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