John Christian Grimm

NPI #1689354615 in Ottawa, Illinois

Provider Information

NPI Number: 1689354615
Entity Type: Individual
Name: John Christian Grimm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 24, 2023
Last Updated: Mar 7, 2024

Practice Location

Address: 212 W SUPERIOR ST
City: Ottawa
State: Illinois
ZIP Code: 61350-2032
Phone: (954) 304-6114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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