Individual
MR. EDWARD GROENENDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
475 W TERRA COTTA AVE STE B1, CRYSTAL LAKE, IL 60014-3407
(847) 899-8370
(815) 425-5980
Mailing address
475 W TERRA COTTA AVE STE B1, CRYSTAL LAKE, IL 60014-3407
(847) 899-8370
(815) 425-5980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004527
IL
Other
Enumeration date
08/25/2006
Last updated
04/09/2025
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