Keeslar, Gloria M

Keeslar, Gloria M is an sole proprietor health care provider with primary practice located at 3106 22Nd Ave , Rock Island IL 61201-5067. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Keeslar, Gloria M can be contacted via phone (309) 786-6685.

Contact Information

Primary practice address
3106 22Nd Ave Rock Island IL 61201-5067
Phone: (309) 786-6685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1831108943
LBN Legal business name Keeslar, Gloria M
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831108943 NPPES
Other 0003721881 BCBS PROVIDER NUMBER

Popular Providers