Individual
JAQUENTA GLASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 NB GRATIOT AVE, MOUNT CLEMENS, MI 48043-2301
(586) 783-2950
(586) 690-4333
Mailing address
39398 SUNDERLAND DR, CLINTON TWP, MI 48038-2682
(586) 224-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018719
MI
Other
Enumeration date
09/01/2016
Last updated
02/26/2022
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