Jack William Groskopf
Jack William Groskopf is a Mental Health Counselor in Dekalb, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
12 Health Services DrDekalb, IL 60115-9637
Phone: (815) 756-4875
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1568154938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2023 |
| Last updated in NPPES | May 24, 2023 |
| Certification date | May 24, 2023 |
| Mailing address | Po Box 1109, Dekalb, IL 60115-7109 |
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