Individual
KEITH GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCS, ABHC
Contact information
Practice address
4000 LAUREL ST, ANCHORAGE, AK 99508-5333
(907) 729-4291
Mailing address
4000 LAUREL ST, ANCHORAGE, AK 99508-5333
(907) 729-4291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215
ACBHC
AK
Enumeration date
05/14/2019
Last updated
05/14/2019
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