Individual
JACOB W GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MSED, LPC, NCC
Contact information
Practice address
1742 MONROE DR NE APT 3, ATLANTA, GA 30324-5041
(309) 945-5304
Mailing address
1742 MONROE DR NE APT 3, ATLANTA, GA 30324-5041
(309) 945-5304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
010801
GA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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