| Doctor Name: | MRS. TARA COCHRAN GRALL |
| NPI Number: | 1053597401 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, RPT |
| License Number: | |
| Business Practice Address: | 2500 W Higgins Rd 105 Hoffman Estates, IL - 601697220 |
| Business Phone Number: | 8888701775 |
| Business Fax Number: | |
| Mailing Address: | 2500 W Higgins Rd, 105 HOFFMAN ESTATES |
| State: | IL |
| Postal Code: | 601697220 |
| Phone Number: | 8888701775 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2008 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |