| Glen Manor Counseling | |
|
914 Glen Ave Suite #3 Peoria IL 61614 | |
| (309) 693-2749 | |
| (309) 693-3894 |
| Full Name | Glen Manor Counseling |
|---|---|
| Speciality | Psychologist |
| Location | 914 Glen Ave, Peoria, Illinois |
| Authorized Official Name and Position | Julie A Ray (PRESIDENT OWNER) |
| Authorized Official Contact | 3096932749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Manor Counseling 914 Glen Ave Suite #3 Peoria IL 61614 Ph: (309) 693-2749 | Glen Manor Counseling 914 Glen Ave Suite #3 Peoria IL 61614 Ph: (309) 693-2749 |
| NPI Number | 1972604411 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972604411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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