TERRY GLENN

Counselor - Mental Health

Active Individual
NPI: 1699316877

Practice Address

2148 VADALABENE DR
Maryville, IL 62062

Phone: (618) 288-3100

Specialties

Specialty Code Primary License
Counselor 101Y00000X No 178.001987 (IL)
Counselor - Professional 101YP2500X No 178.011987 (IL)
Counselor - Mental Health 101YM0800X Yes 178.011987 (IL)

Frequently Asked Questions

NPI 1699316877 is the National Provider Identifier for TERRY GLENN, a Counselor - Mental Health provider located in Maryville, IL. This NPI was enumerated on September 30, 2019.
TERRY GLENN practices at 2148 VADALABENE DR, Maryville, IL 62062.

Quick Facts

NPI
1699316877
Type
Individual
Enumerated
Sep 30, 2019
Last Updated
Nov 13, 2023

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