| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRANT GOEHLER | 1184212680 | 2021-01-10 |
Grant Goehler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184212680. Registration indicates Grant Goehler is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Mr. Grant Goehler LCSW |
| Practice Office Address | 43 E CRYSTAL LAKE AVE CRYSTAL LAKE, IL US |
| Practice Office Telephone | 3306047547 |
| Mailing Address | 3213 E EAST SOLON RD RICHMOND, IL 600719675 US |
| Business Telephone | 3306047547 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 149022858
IL |