Individual
FRED GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
(708) 614-7831
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
(708) 614-7831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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