MEDICARE: JESSE THOMAS JUNG GLACKIN PLMHP

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
1	101YM0800X	Mental Health Counselor	13196	NE

General Provider Information

NPI Number	:	1669199170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE THOMAS JUNG GLACKIN PLMHP

Provider Business Mailing Address
First Line	:	1961 PARKWILD DR APT 127
Second Line	:
City	:	COUNCIL BLUFFS
State	:	IA
Zip	:	51503-1888
Country	:	US
Telephone Number	:	712-346-8213
Fax Number	:

Provider Business Practice Location Address
First Line	:	5705 W DODGE RD SUITE 102
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-6811
Country	:	US
Telephone Number	:	402-575-5577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	10/25/2022

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1265395149 — YVEMIDE ANACIUS
Practice Location Address:

11331 MARTIN AVE
OMAHA, NE
68164-6811

Practice Phone: 402-507-7521
Practice Fax:

1942304043 — JEFF F CHEREK DDS PC
Practice Location Address:

6811 S 167TH ST
OMAHA, NE
68135-5401

Practice Phone: 402-861-6565
Practice Fax: 402-861-4118

1588768683 — DR. JEFFRY FRANCIS CHEREK DDS
Practice Location Address:

6811 S 167TH ST
OMAHA, NE
68135-5401

Practice Phone: 402-861-6565
Practice Fax: 402-861-4118

1154930386 — MR. HARRY D WASHINGTON III PLADC
Practice Location Address:

1299 FARNAM , NULL
OMAHA, NE
68105-6811

Practice Phone: 402-706-0267
Practice Fax:

1619711090 — LINDGREN DENTAL, P.C.
Practice Location Address:

6811 S 167TH ST
OMAHA, NE
68135-5401

Practice Phone: 402-861-6565
Practice Fax: 402-861-4118

Directions to “ JESSE THOMAS JUNG GLACKIN PLMHP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.