| Jenna Glasscock, MA, MFT | |
|
331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | |
| (707) 734-9066 | |
| (844) 388-6167 |
| Full Name | Jenna Glasscock |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 331 E Redwood Ave, Fort Bragg, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013244102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 92510 (California) | Primary |
| Entity Name | Mendocino Coast Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609595404 PECOS PAC ID: 5991619157 Enrollment ID: O20050512001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Glasscock, MA, MFT Po Box 245, Fort Bragg, CA 95437 Ph: (707) 409-5040 | Jenna Glasscock, MA, MFT 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 Ph: (707) 734-9066 |
Ms. Marty Christine Johnson, L.M.F.T. CA. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 331 E. Redwood Ave, Fort Bragg, CA 95437 Phone: 707-964-6164 | |
Laurel Lemohn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 E Oak St, Fort Bragg, CA 95437 Phone: 707-961-0172 Fax: 844-388-6167 | |
Ms. Katharine L. White, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 E Oak Street, Fort Bragg, CA 95437 Phone: 707-961-0172 Fax: 844-388-6167 | |
Carol Michelson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 347 Cypress St Ste B, Fort Bragg, CA 95437 Phone: 707-962-4696 | |
Gretchen Hahn, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 337 E Redwood Ave Ste B, Fort Bragg, CA 95437 Phone: 707-357-6546 | |
Sara Bulakowski, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 32670 Highway 20 Unit 2, Fort Bragg, CA 95437 Phone: 707-467-2010 | |
Clifford Kuhn-lloyd, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 32670 Highway 20 Unit 2, Fort Bragg, CA 95437 Phone: 707-467-2010 |