Individual
GLENDA L MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
3916 WILD FLOWER DR, CHAMPAIGN, IL 61822-2028
(217) 359-7233
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.005701
IL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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