Individual provider · Type 1 NPI

Glenn Clark Easterling Jr., MA

Professional Counselor · Champaign, IL

NPI number 1336589837 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Call (217) 693-4555 Map

Mailing address

30 View Cir
Oreana, IL 62554-1975

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.008933 (IL)

Professional Counselor: Definition to come...

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About NPI 1336589837

Glenn Clark Easterling Jr., MA's National Provider Identifier is 1336589837, issued on Jun 28, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Champaign, IL. The record was last updated on Jun 28, 2013.