Search › Colorado › 171100000X
Jacob Glenn, LAC
NPI 1245743731 · on the registry since 2017
Practice
- Address
- 211 W Myrtle St Ste 104
Fort Collins, CO 80521 - Phone
- (813) 391-7730
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado