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Contact Information

GLEN MANOR COUNSELING
914 GLEN AVE
SUITE #3
PEORIA, IL61614
 Phone: 309-693-2749
 Fax: 309-693-3894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLEN MANOR COUNSELING · (Female)

NPI # 1972604411
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2006
Last updated 06/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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