Individual provider · Type 1 NPI
Jesse Thomas Jung Glackin, PLMHP
Mental Health Counselor · Omaha, NE
NPI number
1669199170
Active
Practice location
5705 W Dodge Rd Suite 102
Omaha, NE 68134-6811
Mailing address
1961 Parkwild Dr Apt 127
Council Bluffs, IA 51503-1888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 13196 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1669199170
Jesse Thomas Jung Glackin, PLMHP's National Provider Identifier is 1669199170, issued on Oct 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Oct 25, 2022.