MR. Glenn Clark Easterling JR., MA

NPI #1336589837 in Champaign, Illinois

Provider Information

NPI Number: 1336589837
Entity Type: Individual
Name: MR. Glenn Clark Easterling JR., MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA
Enumeration Date: Jun 28, 2013
Last Updated: Jun 28, 2013

Practice Location

Address: 202 W PARK AVE
City: Champaign
State: Illinois
ZIP Code: 61820-3929
Phone: (217) 693-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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