Ellen Marie Glaze, MS
NPI #1184768103 in San Pablo, California
Provider Information
- NPI Number
- 1184768103
- Entity Type
- Individual
- Name
- Ellen Marie Glaze, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MS
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Nov 3, 2010
Practice Location
- Address
- 1515 MARKET AVE
- City
- San Pablo
- State
- California
- ZIP Code
- 94806-4357
- Phone
- (510) 232-7571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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