Individual
DR. JACOB DRAULT GLICKMAN
Active
Individual
DR. JACOB DRAULT GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC011819
PA
103TC0700X
Clinical Psychologist
Primary
PS019712
PA
Other
Enumeration date
06/23/2014
Last updated
09/26/2025
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