Individual
JENNIFER L GLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10232 SAN JOSE BLVD, JACKSONVILLE, FL 32257-6203
(904) 260-0218
(904) 292-1094
Mailing address
10232 SAN JOSE BLVD, JACKSONVILLE, FL 32257-6203
(904) 260-0218
(904) 292-1094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT604
FL
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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