Jana Grooms's National Provider Identifier (NPI) Details
Jana Grooms, LCPC
NPI: 1174916076
Enumeration Date: 2015-03-17
Last updated: 2015-03-17
Sole Proprietor: YES
Status: active
Postal Address: 3215 W WILLOW KNOLLS DR APT D91, PEORIA, IL
Phone: 309-264-1083
Primary Practice Address: 3215 W WILLOW KNOLLS DR APT D91, PEORIA, IL
Practice's phone: 309-264-1083