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Mr. Jacob Michael Glose
Mental Health Counselor in Kansas City, Missouri
NPI 1417338435

Jacob Michael Glose is a Mental Health Counselor based in Kansas City, MO and is specialized in Mental Health. Jacob Michael Glose practices in Kansas City, MO. The NPI Number for Jacob Michael Glose is 1417338435 and holds a License No. 20150117463 (Missouri).

The current practice location address for Jacob Michael Glose is 723 E 18Th St, Kansas City, MO and can be reached out via phone at 636-232-4945.

Location: 723 E 18Th St, Kansas City, MO, 64108-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417338435
Provider Name
Jacob Michael Glose
Credential
Provider Entity Type
Individual
Gender
Male
Address
723 E 18Th St, Kansas City, MO, 64108-1511
Phone Number
636-232-4945
Fax Number
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
723 E 18Th St
City
Kansas City
State
Missouri
Zip
64108-1511
Phone Number
636-232-4945
Fax Number
person
Provider Business Mailing Address Details
Address
723 E 18Th St
City
Kansas City
State
Missouri
Zip
64108-1511
Phone Number
636-232-4945
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
20150117463 (Missouri)
Definition
Definition to come...
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