Individual
BRYAN GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT
Contact information
Practice address
5101 N 12TH AVE, PENSACOLA, FL 32504-8918
(850) 261-1212
Mailing address
5101 N 12TH AVE, PENSACOLA, FL 32504-8918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7601
FL
106H00000X
Marriage & Family Therapist
Primary
MT2031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224881
—
FL
Enumeration date
08/31/2006
Last updated
12/21/2007
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