Individual
MELISSA ANN GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 LEE ST NE, DECATUR, AL 35601-1759
(256) 340-0030
Mailing address
25661 COPELAND RD, ATHENS, AL 35613-4723
(256) 431-9646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04928
AL
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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