Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN ANTHONY MOELLER
ActiveGLEN ANTHONY MOELLER is a Mental Health Counselor healthcare provider located in GURNEE, Illinois. NPI 1164130100 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GURNEE, IL
Registration Details
- NPI Number
- 1164130100
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2022 (3.7435843519382 yrs)
- Last Updated
- Jul 31, 2024
- Licenses
-
178.020406 (IL)101YM0800X (IL)
Practice Information
- Address
-
1790 NATIONS DR STE 208GURNEE, IL, 600319176Browse IL providers · Browse ZIP 60031
- Phone
- 8476259004
- Fax
- 8476259073
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Clinical Psychologist
Other Mental Health Counselor Providers in GURNEE, IL
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA E RICHTER | LCPC | 1144254707 |
| DANA STEINER | LCPC | 1215022447 |
| MR. JERRY A. BLECHA | MS, LCPC, CADC | 1396822367 |
| DONNA M GATES | M.A. | 1609944768 |
| MR. DAVID LEE GATES | M.A. | 1306913512 |
| MS. ALISON B KOEHLER | LCPC | 1700935418 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.