Individual
GEORGIA GLAZEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19960 SW 112TH AVE, TUALATIN, OR 97062-7626
(866) 478-3978
Mailing address
PO BOX 31, SALINA, KS 67402-0031
(541) 248-7911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C10211
OR
101YP2500X
Professional Counselor
Primary
LCPC04149
KS
Other
Enumeration date
12/06/2018
Last updated
12/04/2025
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