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

MR. LESLIE E GRANGE, LPC

Active

MR. LESLIE E GRANGE, LPC is a Counselor healthcare provider located in EVERGREEN PARK, Illinois. NPI 1295465839 is currently active in the NPPES registry. Verify at CMS.

Counselor · EVERGREEN PARK, IL

Registration Details

NPI Number
1295465839
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2022 (4.2037936696462 yrs)
Last Updated
Jun 15, 2022
License
178.018066 (IL)

Practice Information

Address
3317 W 95TH ST
EVERGREEN PARK, IL, 608052243
Browse IL providers · Browse ZIP 60805
Phone
7083811176
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in EVERGREEN PARK, IL

Name Credential NPI
MRS. LAKESHIA MARIE SUMRALL-CARR LCPC 1275966699
TIFFANY THOMAS LCPC 1043074693
MICHELLE CATRON MSW 1437903580
TOYA PINK 1346071834
TAMARA ARNOLD 1306701339
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.