Glaze, Henry M.

Glaze, Henry M. is an individual health care provider with primary practice located at 643 N State St , Jackson MS 39202-3304. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Glaze, Henry M. can be contacted via phone (601) 948-4475.

Contact Information

Primary practice address
643 N State St Jackson MS 39202-3304
Phone: (601) 948-4475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0143 Mississippi

Profile Details

NPI number 1356559389
LBN Legal business name Glaze, Henry M.
Credentials JD, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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