James P Grimm, LCPC Valid NPI
Individual provider · Professional Counselor · Crystal Lake, IL
- NPI
- 1164728374
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180.001620 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-02-04
- Last updated
- 2011-02-04
Practice location
820 E Terra Cotta Ave, Suite 215
Crystal Lake, IL 60014-3649
(847) 913-0393