George Glaze III

NPI #1114194800 in Altadena, California

Provider Information

NPI Number: 1114194800
Entity Type: Individual
Name: George Glaze III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: 760 WEST MOUNTAIN VIEW STREET
City: Altadena
State: California
ZIP Code: 91001
Phone: (626) 798-6793

Specialties & Taxonomy Codes

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

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