person
Jordan P Grimm
Professional Counselor in Springfield, Illinois
NPI 1942964192

Jordan P Grimm is a Professional Counselor based in Dunlap, IL and is specialized in Professional. Jordan P Grimm practices in Springfield, IL. The NPI Number for Jordan P Grimm is 1942964192 and holds a License No. 178019034 (Illinois).

The current practice location address for Jordan P Grimm is 4481 Ash Grove Dr Ste B, Springfield, IL and can be reached out via phone at 309-693-8200.

Location: 4481 Ash Grove Dr Ste B, Springfield, IL, 61525-9771
person
Provider Profile Details
NPI Number
1942964192
Provider Name
Jordan P Grimm
Credential
Provider Entity Type
Individual
Gender
Female
Address
4481 Ash Grove Dr Ste B, Springfield, IL, 61525-9771
Phone Number
309-693-8200
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4481 Ash Grove Dr Ste B
City
State
Zip
62711-6359
Phone Number
309-693-8200
Fax Number
person
Provider Business Mailing Address Details
Address
4481 Ash Grove Dr Ste B
City
State
Zip
62711-6359
Phone Number
309-693-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178019034 (Illinois)
Definition
Definition to come...
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