Christopher Blake Glaze
Christopher Blake Glaze is a Professional Counselor in Lagrange, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
122 Gordon Commercial Dr Ste CLagrange, GA 30240-5754
Phone: (706) 845-4045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1104464296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 19, 2019 |
| Last updated in NPPES | December 19, 2019 |
| Certification date | December 19, 2019 |
| Mailing address | 709 S 12th St, Lanett, AL 36863-2831 |
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