Individual provider · Type 1 NPI

Jordan P. Grimm

Professional Counselor · Springfield, IL

NPI number 1942964192 Active

Practice location

4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359

Call (309) 693-8200 Map

Mailing address

10703 N Glenfield Dr
Dunlap, IL 61525-9771

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178019034 (IL)

Professional Counselor: Definition to come...

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About NPI 1942964192

Jordan P. Grimm's National Provider Identifier is 1942964192, issued on Oct 25, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Aug 9, 2023.