Organization
JOHN GOLL COUNSELING, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GOLL L.M.F.T. (PRESIDENT)
(317) 289-0982
Entity
Organization
Contact information
Practice address
2100 MANCHESTER RD STE 400-A, WHEATON, IL 60187-4579
(630) 909-9605
Mailing address
530 WING LN, ST CHARLES, IL 60174-2340
(317) 289-0982
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001069
IL
Other
Enumeration date
05/23/2007
Last updated
01/04/2017
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