Individual
GRANT THOMAS GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
550 S ADAMS ST, BLOOMINGTON, IN 47403-2165
(812) 333-6324
(812) 331-6700
Mailing address
550 S ADAMS ST, BLOOMINGTON, IN 47403-2165
(812) 333-6324
(812) 331-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003932A
IN
Other
Enumeration date
11/27/2018
Last updated
09/16/2025
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