MR. Edward Groenendal, MA
NPI #1629185475 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1629185475
- Entity Type
- Individual
- Name
- MR. Edward Groenendal, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Apr 9, 2025
Practice Location
- Address
- 475 W TERRA COTTA AVE STE B1
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014-3407
- Phone
- (847) 899-8370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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