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NPI Code Detail

MEDICARE: JACQUELINE ELAINE GLAROS LPCC, LCPC

MEDICARE: JACQUELINE ELAINE GLAROS LPCC, LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLC9531MD
2101YM0800XMental Health CounselorE.0700331OH

General Provider Information

NPI Number : 1225261118
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE ELAINE GLAROS LPCC, LCPC
Provider Business Mailing Address
First Line : 6100 OAK TREE BLVD STE 200
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-6914
Country : US
Telephone Number : 330-779-1580
Fax Number : 330-953-2282
Provider Business Practice Location Address
First Line : 6100 OAK TREE BLVD STE 200
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-6914
Country : US
Telephone Number : 330-779-1580
Fax Number : 330-953-2282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 06/09/2025

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Directions to “ JACQUELINE ELAINE GLAROS LPCC, LCPC” Practice Location

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