Christopher Blake Glaze
Professional Counselor · Lagrange, GA
Practice location
122 Gordon Commercial Dr Ste CLagrange, GA 30240-5754
- Phone
- (706) 845-4045
NPI record
- NPI
- 1104464296
- Entity type
- Individual (Type 1)
- Enumeration date
- December 19, 2019
- Last updated
- December 19, 2019
- Certified
- December 19, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
— | — |
Mailing address
709 S 12TH StLanett, AL 36863-2831
- Phone
- (706) 590-2839
About Christopher Glaze
Christopher Blake Glaze is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754. The NPI number 1104464296 was assigned on December 19, 2019 and the record was last updated on December 19, 2019.
Frequently asked questions
What is the NPI number of Christopher Blake Glaze?
The NPI number is 1104464296.
What is the phone number of Christopher Glaze?
The phone number listed for the practice location is (706) 845-4045.
Where is Christopher Glaze located?
122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754.
What is the taxonomy code for Christopher Glaze?
The primary taxonomy code is 101YP2500X – Professional Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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