Individual provider · Type 1 NPI

Anita Groll

Professional Counselor · Park Ridge, IL

NPI number 1043631963 Active

Practice location

1580 N Northwest Hwy, Suite 111-G
Park Ridge, IL 60068-1444

Call (708) 925-3540 Map

Mailing address

4707 N Oketo Ave
Harwood Heights, IL 60706-4612

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.005177 (IL)

Professional Counselor: Definition to come...

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About NPI 1043631963

Anita Groll's National Provider Identifier is 1043631963, issued on Dec 18, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park Ridge, IL. The record was last updated on Jan 10, 2016.