Individual ProviderRebecca GlazeCounselorBehavioral Health & Social Service ProvidersPractice Address10 Chestnut Dr Unit D, Bedford, NH 03110-5555(603) 696-4872(603) 333-0027PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Glaze does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457006645Provider TypeIndividualFull NameGlaze, RebeccaCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date2/16/2022Last Updated2/16/2022Contact InformationPractice LocationPractice Address10 Chestnut Dr Unit D, Bedford, NH 03110-5555Phone(603) 696-4872FaxUnlisted FaxMailing LocationMailing AddressPO Box 100, Contoocook, NH 03229-0100Phone(603) 333-0027FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2644New Hampshire