Individual provider · Type 1 NPI

Olivia Grisham

Mental Health Counselor · Waukegan, IL

NPI number 1487579942 Active

Practice location

3010 Grand Ave
Waukegan, IL 60085-2321

Fax (773) 592-7489

Mailing address

4813 N Winthrop Ave Apt 1S
Chicago, IL 60640-0687

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487579942

Olivia Grisham's National Provider Identifier is 1487579942, issued on Aug 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukegan, IL. The record was last updated on Aug 12, 2026.