| Glen Anthony Moeller, | |
|
1790 Nations Dr Ste 208, Gurnee, IL 60031-9176 | |
| (847) 625-9004 | |
| (847) 625-9073 |
| Full Name | Glen Anthony Moeller |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1790 Nations Dr Ste 208, Gurnee, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164130100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178.020406 (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | 101YM0800X (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Anthony Moeller, 447 Park Ln, Lake Bluff, IL 60044-2322 Ph: (847) 217-2460 | Glen Anthony Moeller, 1790 Nations Dr Ste 208, Gurnee, IL 60031-9176 Ph: (847) 625-9004 |
Kelsey E Legagneur, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 110, Gurnee, IL 60031 Phone: 321-889-2360 | |
Kayla Ramos, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 110, Gurnee, IL 60031 Phone: 312-684-0692 | |
Mrs. Nanci Janine Edgcomb, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Yorktown Lane, Gurnee, IL 60031 Phone: 847-244-0701 Fax: 847-623-7231 | |
Mr. Harry Lee Speer, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2079 Madison Ave, Gurnee, IL 60031 Phone: 331-425-2573 | |
Ms. Victoria G Pugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 110, Gurnee, IL 60031 Phone: 618-288-1133 | |
Ana Alicia Maroon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr Ste 116, Gurnee, IL 60031 Phone: 847-245-6544 | |
Kerry Stokes, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 Nations Dr, Gurnee, IL 60031 Phone: 847-204-4728 |