Individual
JODI GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Contact information
Practice address
5400 EDALBERT DR, CINCINNATI, OH 45239
(513) 741-3100
Mailing address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
2833
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043251234
—
OH
Enumeration date
06/09/2006
Last updated
01/11/2019
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