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NPI Code Detail

MEDICARE: MISS CAREN JILL GLASSMAN LMHC

MEDICARE:  MISS CAREN JILL GLASSMAN  LMHC
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 CounselorMH2998FL

General Provider Information

NPI Number : 1609025261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CAREN JILL GLASSMAN LMHC
Provider Business Mailing Address
First Line : 3511 W COMMERCIAL BLVD STE 305
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3322
Country : US
Telephone Number : 954-733-3394
Fax Number : 954-733-4483
Provider Business Practice Location Address
First Line : 3511 W COMMERCIAL BLVD STE 305
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3322
Country : US
Telephone Number : 954-733-3394
Fax Number : 954-733-4483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 09/18/2008

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Directions to “ MISS CAREN JILL GLASSMAN LMHC” Practice Location

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