JACQUELINE R GLASGOW


Address: 1605 N Mississippi Ave, Laurel, MS 39440-3172
Phone: 6017051901

JACQUELINE R GLASGOW (NPI# 1538391206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538391206
Entity Type Individual
Full Name JACQUELINE R GLASGOW
Credential CMHT
Practice Address 1605 N Mississippi Ave
Laurel
MS 39440-3172
Practice Telephone 6017051901
Mailing Telephone 6017051901
Enumeration Date 2009-08-14
Last Update Date 2009-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor CH0648 MS Behavioral Health & Social Service Providers

Office Location

Street Address 1605 N MISSISSIPPI AVE
City LAUREL
State MS
Zip Code 39440-3172

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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City LAUREL
Zip Code 39440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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