Glen Anthony Moeller

NPI # 

Practice Address:

1790 Nations Dr Ste 208

Gurnee, IL, 60031-9176

Practice Phone:

847-625-9004

Practice Fax:

847-625-9073

License Number:

178.020406

License State:

IL

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Mental Health

Taxonomy Code:

101YM0800X

Updated by NPPES on 7/31/2024. You can view the original data set for NPI # 1164130100 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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