Individual
MS. DONNA JEAN GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LCPC
Contact information
Practice address
1001 MAPLE AVE, DOWNERS GROVE, IL 60515-4928
(630) 353-0697
Mailing address
1001 MAPLE AVE, DOWNERS GROVE, IL 60515-4928
(630) 353-0697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-0047-46
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-004746
LCPC
IL
Enumeration date
05/23/2007
Last updated
07/01/2015
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