Individual provider · Type 1 NPI

Evan James Grady, MHP, BS

Mental Health Counselor · Dixon, IL

NPI number 1609416049 Active

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Fax (815) 284-6642

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609416049

Evan James Grady, MHP, BS's National Provider Identifier is 1609416049, issued on Jan 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Jan 14, 2020.