IndividualActive
Nathan Glaze, ALC
NPI 1255105391 · Counselor · Mountain Brk, AL
Nathan Glaze, ALC is a Counselor provider in Mountain Brk, AL (NPI 1255105391).
Provider details
- NPI number
- 1255105391
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- ALC
- Sex
- Male
- Sole proprietor
- Yes
- License
- ALC03809 (AL)
Practice location
17 Office Park Cir
Mountain Brk, AL 35223-2560
Phone: (256) 375-3078
Street-level locationGet directions
Mailing address
1815 4th Ave S
Irondale, AL 35210-1620
Registry dates
- Enumerated
- 2023-11-09
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.