DR. Richard Grevengoed, L.C.P.C.

NPI #1386770238 in South Holland, Illinois

Provider Information

NPI Number: 1386770238
Entity Type: Individual
Name: DR. Richard Grevengoed, L.C.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: L.C.P.C.
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 559 E 161ST PL
City: South Holland
State: Illinois
ZIP Code: 60473-1618
Phone: (708) 474-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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