DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY GRILL-COOPER, MS

Active Sole Proprietor

KELLY GRILL-COOPER, MS is a Professional Counselor healthcare provider located in MONTGOMERY, Illinois. NPI 1164688578 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MONTGOMERY, IL

Registration Details

NPI Number
1164688578
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2008 (17.843068284414 yrs)
Last Updated
Jun 19, 2013
License
180008099 (IL)
Sole Proprietor
Yes

Practice Information

Address
3238 MARBILL FARM RD
MONTGOMERY, IL, 605383342
Browse IL providers · Browse ZIP 60538
Phone
4408215772
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in MONTGOMERY, IL

Name Credential NPI
MS. CYNTHIA M TRAVNICEK LCPC, BCC, CH.T 1073725487
MR. WALLACE BENJAMIN HAMLIN LCPC 1558544650
MS. MARIA DIANE GRZYBEK LCPC 1962705350
CLORISSA YOUNG MA, LCPC 1689117368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.