Provider Demographics
NPI:1659796639
Name:GROLL, KIMBERLY ERIN (LCPC, CADC, CAMT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ERIN
Last Name:GROLL
Suffix:
Gender:F
Credentials:LCPC, CADC, CAMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 S. WASHINGTON STREET
Mailing Address - Street 2:SUITE 207 ACHIEVING SOLUTIONS COUNSELING, INC.
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-632-4060
Mailing Address - Fax:630-983-6474
Practice Address - Street 1:608 S. WASHINGTON STREET
Practice Address - Street 2:SUITE 207 ACHIEVING SOLUTIONS COUNSELING, INC.
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-632-4060
Practice Address - Fax:630-983-6474
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008884101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor