Individual
GLORIA M KEESLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3106 22ND AVE, ROCK ISLAND, IL 61201-5067
(309) 786-6685
Mailing address
3106 22ND AVE, ROCK ISLAND, IL 61201-5067
(309) 786-6685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003721881
BCBS PROVIDER NUMBER
—
Enumeration date
08/07/2006
Last updated
07/08/2007
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