Individual
MR. GALEN L TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
4320 WINFIELD RD, SUITE 200, WARRENVILLE, IL 60555-4018
(331) 725-8342
Mailing address
3016 QUINCY LN, AURORA, IL 60504-6806
(331) 725-8342
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166-000603
IL
Other
Enumeration date
10/13/2006
Last updated
09/11/2012
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