Individual
MS. JACQUELINE RENEE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 INDEPENDENCE BLVD STE 326, VIRGINIA BEACH, VA 23462-2978
(757) 490-0377
Mailing address
281 INDEPENDENCE BLVD STE 326, VIRGINIA BEACH, VA 23462-2978
(757) 490-0377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005297
VA
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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