Individual provider · Type 1 NPI
Robert J. Grimmer, LCPC
Mental Health Counselor · Carbondale, IL
NPI number
1902562762
Active
Practice location
2609 W Striegel Rd
Carbondale, IL 62901-5312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.008650 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1902562762
Robert J. Grimmer, LCPC's National Provider Identifier is 1902562762, issued on Nov 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carbondale, IL. The record was last updated on Nov 16, 2021.