Glen Anthony Moeller Valid NPI

Individual provider · Mental Health Counselor · Gurnee, IL

NPI

1164130100

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

178.020406 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2022-11-08

Last updated

2024-07-31