Individual
MR. DELBERT E GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7210 N VILLA LAKE DR, STE D, PEORIA, IL 61614
(309) 589-1011
(309) 589-1019
Mailing address
7210 N VILLA LAKE DR, STE D, PEORIA, IL 61614
(309) 589-1011
(309) 589-1019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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