Individual
GLENNA R GANSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1N141 COUNTY FARM RD, STE. 120, WINFIELD, IL 60190-2032
(630) 221-1909
Mailing address
1N141 COUNTY FARM RD, STE. 120, WINFIELD, IL 60190-2032
(630) 221-1909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232842
BLUE CROSS BLUE SHIELD NO
—
Enumeration date
01/17/2007
Last updated
07/08/2007
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