JACOB MICHAEL GLOSE

KANSAS CITY, MO
NPI1417338435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  20150117463)
Enumeration Date2015-06-16
Last Update Date2015-06-16
Business Address
Mr. JACOB MICHAEL GLOSE
723 E 18TH ST
KANSAS CITY, MO 64108-1511
Phone number: 636-232-4945
Mailing Address
Mr. JACOB MICHAEL GLOSE
723 E 18TH ST
KANSAS CITY, MO 64108-1511
Phone number: 636-232-4945