Individual
DR. JEFFERY E GRUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2510 LANDSTROM RD, ROCKFORD, IL 61107-1014
(815) 540-6352
(815) 636-8911
Mailing address
2510 LANDSTROM RD, ROCKFORD, IL 61107-1014
(815) 540-6352
(815) 636-8911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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