person
Ellen Marie Glaze, MS
Addiction (Substance Use Disorder) Counselor in San Pablo, California
NPI 1184768103

Ellen Marie Glaze is an Addiction (Substance Use Disorder) Counselor based in San Pablo, CA and is specialized in Addiction (Substance Use Disorder). Ellen Marie Glaze practices in San Pablo, CA and has the professional credentials of MS. The NPI Number for Ellen Marie Glaze is 1184768103 and holds a License No. (California).

The current practice location address for Ellen Marie Glaze is 1515 Market Ave, San Pablo, CA and can be reached out via phone at 510-232-7571 and via fax at 510-235-2545.

Location: 1515 Market Ave, San Pablo, CA, 94806-4357
person
Provider Profile Details
NPI Number
1184768103
Provider Name
Ellen Marie Glaze
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1515 Market Ave, San Pablo, CA, 94806-4357
Phone Number
510-232-7571
Fax Number
510-235-2545
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1515 Market Ave
City
State
Zip
94806-4357
Phone Number
510-232-7571
Fax Number
510-235-2545
person
Provider Business Mailing Address Details
Address
1515 Market Ave
City
State
Zip
94806-4357
Phone Number
510-232-7571
Fax Number
510-235-2545
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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