Heather L Glaza, LCPC Valid NPI

Individual provider · Mental Health Counselor · Eagle, ID

NPI

1750438388

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LCPC-3962 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-04

Last updated

2023-06-22