MR. EDWARD GROENENDAL, MA
Counselor - Professional
Active
Individual
NPI: 1629185475
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 180004527 (IL) |
Frequently Asked Questions
NPI 1629185475 is the National Provider Identifier for MR. EDWARD GROENENDAL, MA, a Counselor - Professional provider located in Crystal Lake, IL. This NPI was enumerated on August 25, 2006.
MR. EDWARD GROENENDAL, MA practices at 475 W TERRA COTTA AVE STE B1, Crystal Lake, IL 60014.
Quick Facts
- NPI
- 1629185475
- Type
- Individual
- Enumerated
- Aug 25, 2006
- Last Updated
- Apr 9, 2025
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