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Organization
TRI-COUNTY COUNSELING & LIFE SKILLS CENTER
Active
Organization
TRI-COUNTY COUNSELING & LIFE SKILLS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GEORGE GLAZA ED.D-LMHC- CAP (CEO CLINICAL DIRECTOR)
(941) 876-3060
Entity
Organization
Contact information
Practice address
12543 TAMIAMI TRL S, NORTH PORT, FL 34287-1446
(941) 429-3721
(941) 257-8395
Mailing address
12543 TAMIAMI TRL S, NORTH PORT, FL 34287-1446
(941) 429-3721
(941) 257-8395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SR-58-AD-2079-01
FL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
11/03/2014
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