person
Desiree Laurel Glaze, LPCS
Mental Health Counselor in Tyler, Texas
NPI 1033875950

Desiree Laurel Glaze is a Mental Health Counselor based in Tyler, TX and is specialized in Mental Health. Desiree Laurel Glaze practices in Tyler, TX and has the professional credentials of LPCS. The NPI Number for Desiree Laurel Glaze is 1033875950 and holds a License No. 69162 (Texas).

The current practice location address for Desiree Laurel Glaze is 2003 Rickety Ln Ste E, Tyler, TX and can be reached out via phone at 903-330-0601.

Location: 2003 Rickety Ln Ste E, Tyler, TX, 75703-1704
person
Provider Profile Details
NPI Number
1033875950
Provider Name
Desiree Laurel Glaze
Credential
LPCS
Provider Entity Type
Individual
Gender
Female
Address
2003 Rickety Ln Ste E, Tyler, TX, 75703-1704
Phone Number
903-330-0601
Fax Number
Provider Enumeration Date
11/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2003 Rickety Ln Ste E
City
State
Zip
75703-1704
Phone Number
903-330-0601
Fax Number
person
Provider Business Mailing Address Details
Address
2003 Rickety Ln Ste E
City
State
Zip
75703-1704
Phone Number
903-330-0601
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
69162 (Texas)
Definition
Definition to come...
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