Individual
MRS. AMY GOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
12 W WILSON ST, SUITE A, BATAVIA, IL 60510-2891
(630) 715-5740
Mailing address
12 W WILSON ST, SUITE A, BATAVIA, IL 60510-2891
(630) 715-5740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008067
IL
Other
Enumeration date
12/15/2011
Last updated
11/05/2015
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