MS. Theresa L. Grimm, M.A., LCPC

NPI #1114184660 in Inverness, Illinois

Provider Information

NPI Number: 1114184660
Entity Type: Individual
Name: MS. Theresa L. Grimm, M.A., LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: M.A., LCPC
Enumeration Date: May 21, 2008
Last Updated: Sep 9, 2019

Practice Location

Address: 1608 W COLONIAL PKWY STE LL101
City: Inverness
State: Illinois
ZIP Code: 60067-4755
Phone: (847) 791-5325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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