Tellissa A Colglazier, LCSW

NPI #1174143119 in Portland, Indiana

Provider Information

NPI Number
1174143119
Entity Type
Individual
Name
Tellissa A Colglazier, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 20, 2020
Last Updated
Nov 8, 2023

Practice Location

Address
1758 W 100 S
State
Indiana
ZIP Code
47371-8204
Phone
(260) 726-1960

Specialties & Taxonomy Codes

Specialty
Counselor
Social Worker - ClinicalClinical

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