Individual
JAMES P GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
820 E TERRA COTTA AVE, SUITE 215, CRYSTAL LAKE, IL 60014-3649
(847) 913-0393
(847) 913-9630
Mailing address
1401 MCHENRY RD, SUITE 122, BUFFALO GROVE, IL 60089-1382
(847) 913-0393
(847) 913-9630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.001620
IL
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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