Individual
CHRIS MARK GLANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 FRONT ST STE B, KETCHIKAN, AK 99901-6431
(678) 620-5570
Mailing address
928 MONROE ST, KETCHIKAN, AK 99901-5740
(678) 620-5570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PCOP820
AK
Other
Enumeration date
01/17/2020
Last updated
06/14/2021
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