| Jen Gladon Counseling Llc | |
|
810 Locust St Dubuque IA 52001-6705 | |
| (563) 293-1247 | |
| Not Available |
| Full Name | Jen Gladon Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 810 Locust St, Dubuque, Iowa |
| Authorized Official Name and Position | Jennifer Gladon (OWNER, LISW) |
| Authorized Official Contact | 5632931247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jen Gladon Counseling Llc 810 Locust St Dubuque IA 52001-6705 Ph: () - | Jen Gladon Counseling Llc 810 Locust St Dubuque IA 52001-6705 Ph: (563) 293-1247 |
| NPI Number | 1427601418 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 9830426865 |
|---|---|
| Medicare Enrollment ID | O20190813002869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427601418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Gladon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609329622 PECOS PAC ID: 1557694288 Enrollment ID: I20190611002732 |
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