About
Dr. Glenn Sample is a Professional Counselor in Rockford, Illinois. He has over 13 years of experience. Contact Dr. Glenn Sample to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Sole Proprietor
Gender
Male
Years in Practice
13 years
Healthcare Provider Taxonomy
- Code: 101YP2500X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Professional
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
Credentials
- Doctor of Psychology (PSY.D.)
Licenses
Name | License Number | State |
---|---|---|
Counselor | 178010086 Verify | IL |
Counselor | 180010078 Verify | IL |
Psychologist | 30340 Verify | CA |
Psychologist | 071009666 Verify | IL |
Practice Locations
1643 N Alpine Rd Ste 104-609
Rockford, IL 61107-1462
Phone Number: (773) 245-3449