Henry M. Glaze JR. JD, LMFT

NPI 1356559389 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1356559389
Gender Male
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
JACKSON MS, 39202-3304, US
Phone (601) 948-4475
Business Location
PO BOX 2168
JACKSON MS, 39225-2168, US
Phone (601) 948-4475
Taxonomy Code 106H00000X
License State Mississippi
License Number T0143
Remove 1356559389 NPI Number

According to our database, Mr. Henry M. Glaze JR. JD, LMFT NPI is 1356559389, taxonomy code is 106H00000X and license number is T0143, license state is located at Mississippi. Henry M. Glaze JR. JD, LMFT physically located at 643 N State St, Jackson MS, 39202-3304. NPI Number Henry M. Glaze JR. JD, LMFT has the Individual type.

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1356559389 NPI number is provided on an as is basis without warranty of any kind. 1356559389 is maintained by the National Plan & Provider Enumeration System. The contents of Henry M. Glaze JR. JD, LMFT are for informational purposes only.