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NPI Code Detail

MEDICARE: JESSICA MARIE GLAESER LPC

MEDICARE:   JESSICA MARIE GLAESER  LPC
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 Counselor15222CO

General Provider Information

NPI Number : 1487112363
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MARIE GLAESER LPC
Provider Business Mailing Address
First Line : 2727 BRYANT ST STE 210
Second Line :
City : DENVER
State : CO
Zip : 80211-4152
Country : US
Telephone Number : 720-644-6287
Fax Number :
Provider Business Practice Location Address
First Line : 2727 BRYANT ST STE 210
Second Line :
City : DENVER
State : CO
Zip : 80211-4152
Country : US
Telephone Number : 720-644-6287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2019
Last Update Date : 03/09/2019

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Directions to “ JESSICA MARIE GLAESER LPC” Practice Location

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