Organization
GLEN MANOR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A RAY LCSW (PRESIDENT OWNER)
(309) 693-2749
Entity
Organization
Contact information
Practice address
914 GLEN AVE, SUITE #3, PEORIA, IL 61614
(309) 693-2749
(309) 693-3894
Mailing address
914 GLEN AVE, SUITE #3, PEORIA, IL 61614
(309) 693-2749
(309) 693-3894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
06/19/2008
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