Individual provider · Type 1 NPI

Terry Glenn

Mental Health Counselor · Belleville, IL

NPI number 1699316877 Active

Practice location

12 N 64th St
Belleville, IL 62223-3808

Call (618) 887-4420 Map

Fax (618) 397-0093

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X178.001987 (IL)
Professional Counselor 101YP2500X178.011987 (IL)
Mental Health Counselor Primary 101YM0800X178.011987 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1699316877

Terry Glenn's National Provider Identifier is 1699316877, issued on Sep 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on Sep 24, 2026.