Individual
DIANNE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC CADC MISAII
Contact information
Practice address
1525 E 53RD ST, SUITE 806, CHICAGO, IL 60615-4557
(773) 684-2983
(773) 684-2671
Mailing address
1525 E 53RD ST, SUITE 806, CHICAGO, IL 60615-4557
(773) 684-2983
(773) 684-2671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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