person
Christopher Blake Glaze
Professional Counselor in Lagrange, Georgia
NPI 1104464296

Christopher Blake Glaze is a Professional Counselor based in Lanett, GA and is specialized in Professional. Christopher Blake Glaze practices in Lagrange, GA. The NPI Number for Christopher Blake Glaze is 1104464296 and holds a License No. (Georgia).

The current practice location address for Christopher Blake Glaze is 122 Gordon Commercial Dr Ste C, Lagrange, GA and can be reached out via phone at 706-845-4045. You can also correspond with Christopher Blake Glaze through the mailing address at 709 S 12TH ST, LANETT, AL - 36863-2831 (mailing address contact number: 706-590-2839).

Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA, 36863-2831
person
Provider Profile Details
NPI Number
1104464296
Provider Name
Christopher Blake Glaze
Credential
Provider Entity Type
Individual
Gender
Male
Address
122 Gordon Commercial Dr Ste C, Lagrange, GA, 36863-2831
Phone Number
706-845-4045
Fax Number
Provider Enumeration Date
12/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 Gordon Commercial Dr Ste C
City
State
Zip
30240-5754
Phone Number
706-845-4045
Fax Number
person
Provider Business Mailing Address Details
Address
122 Gordon Commercial Dr Ste C
City
State
Zip
30240-5754
Phone Number
706-845-4045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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