Individual provider · Type 1 NPI
Richard Grevengoed, L.C.P.C.
Professional Counselor · South Holland, IL
NPI number
1386770238
Active
Practice location
559 E 161st Pl
South Holland, IL 60473-1618
Mailing address
559. E.161ST Place
South Holland, IL 60473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1803926 (IL) |
| Professional Counselor | 101YP2500X | 1803926 (IN) |
Professional Counselor: Definition to come...
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About NPI 1386770238
Richard Grevengoed, L.C.P.C.'s National Provider Identifier is 1386770238, issued on Feb 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Holland, IL. The record was last updated on Jul 8, 2007.