Individual
JESSE THOMAS JUNG GLACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
5705 W DODGE RD SUITE 102, OMAHA, NE 68134-6811
(402) 575-5577
Mailing address
1961 PARKWILD DR APT 127, COUNCIL BLUFFS, IA 51503-1888
(712) 346-8213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13196
NE
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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