SearchIllinois1041C0700X

Grant Goehler, LCSW

NPI 1184212680 · on the registry since 2021 · sole proprietor

Practice

Address
43 E Crystal Lake Ave
Crystal Lake, IL 60014
Phone
(330) 604-7547

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois