Organization
EILEEN H GLENN MA LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN H GLENN LCPC (OWNER)
(847) 733-9661
Entity
Organization
Contact information
Practice address
1740 RIDGE AVE, SUITE 101B, EVANSTON, IL 60201-5918
(847) 733-9661
(847) 733-1571
Mailing address
2209 DODGE AVE, EVANSTON, IL 60201-3012
(847) 733-1567
(187) 733-1571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003470
IL
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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