Jackie Joy Glass
Counselor in Pompano Beach, FL. Individual provider (NPI-1).
NPI number1295375293
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1295375293
- Entity type
- Individual (NPI-1)
- Name
- Jackie Joy Glass
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2020
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | SW4845 | FL | Yes |
Practice location
996 Se 9th AvePompano Beach, FL 33060-9508
Phone 954-309-7519
Mailing address
996 Se 9th AvePompano Beach, FL 33060-9508
Phone 954-309-7519
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