Individual provider · Type 1 NPI

Earle Ronald Kelwyn Grosvenor, MA, LPC

Professional Counselor · Chicago, IL

NPI number 1740554567 Active

Practice location

3420 W Peterson Ave, Suite 6
Chicago, IL 60659-3418

Call (312) 527-1290 Map

Fax (773) 267-6113

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.005976 (IL)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1740554567

Earle Ronald Kelwyn Grosvenor, MA, LPC's National Provider Identifier is 1740554567, issued on Feb 24, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 24, 2012.