Gleason, Jaclyn M
Gleason, Jaclyn M is an individual health care provider with primary practice located at 200 Home Rd , Covington KY 41011-1942. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gleason, Jaclyn M can be contacted via phone (859) 261-8768.Contact Information
Primary practice address
200 Home Rd
Covington KY 41011-1942
Phone: (859) 261-8768
Fax: (859) 291-2431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 171643 | Kentucky |
Profile Details
| NPI number | 1811436165 |
|---|---|
| LBN Legal business name | Gleason, Jaclyn M |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2017 |
| Last updated | Jul 16th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811436165 | NPPES |
| Kentucky | MEDICAID | 7100447160 |
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