| Jennifer L Glock Psychological Consulting Inc | |
|
3715 San Jose Pl Ste 1 Jacksonville FL 32257-8867 | |
| (904) 260-0218 | |
| (904) 880-0802 |
| Full Name | Jennifer L Glock Psychological Consulting Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3715 San Jose Pl Ste 1, Jacksonville, Florida |
| Authorized Official Name and Position | Jennifer Glock (OWNER) |
| Authorized Official Contact | 9042600218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Glock Psychological Consulting Inc 10232 San Jose Blvd Jacksonville FL 32257-6203 Ph: (904) 260-0218 | Jennifer L Glock Psychological Consulting Inc 3715 San Jose Pl Ste 1 Jacksonville FL 32257-8867 Ph: (904) 260-0218 |
| NPI Number | 1255606158 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255606158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT604 (Florida) | Primary |
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