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Individual

JUAN IGNACIO GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., LMTF

Contact information

Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0001853
CO
106H00000X
Marriage & Family Therapist
Primary
109529
CA
106H00000X
Marriage & Family Therapist
IMF86996
CA

Other

Enumeration date
07/28/2015
Last updated
06/24/2021
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