Individual
MR. KIRK DONALD GOHSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ICADC, CRADC
Contact information
Practice address
106 S. COUNTRY FAIR DRIVE, SUITE C, CHAMPAIGN, IL 61821
(217) 373-8200
(217) 373-5233
Mailing address
106 S. COUNTRY FAIR DRIVE, SUITE C, CHAMPAIGN, IL 61821
(217) 373-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30872
IL
Other
Enumeration date
11/16/2011
Last updated
02/12/2021
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