person
Mr. Bradley Carlyle Goben, MALCPC
Professional Counselor in Champaign, Illinois
NPI 1073645578

Bradley Carlyle Goben is a Professional Counselor based in Charleston, IL and is specialized in Professional. Bradley Carlyle Goben practices in Champaign, IL and has the professional credentials of MALCPC. The NPI Number for Bradley Carlyle Goben is 1073645578 and holds a License No. (Illinois).

The current practice location address for Bradley Carlyle Goben is 313 N Mattis Ave, Champaign, IL and can be reached out via phone at 217-348-1086 and via fax at 217-355-4012.

Location: 313 N Mattis Ave, Champaign, IL, 61920-2822
person
Provider Profile Details
NPI Number
1073645578
Provider Name
Bradley Carlyle Goben
Credential
MALCPC
Provider Entity Type
Individual
Gender
Male
Address
313 N Mattis Ave, Champaign, IL, 61920-2822
Phone Number
217-348-1086
Fax Number
217-355-4012
Provider Enumeration Date
03/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
313 N Mattis Ave
City
State
Zip
61821-2460
Phone Number
217-348-1086
Fax Number
217-355-4012
person
Provider Business Mailing Address Details
Address
313 N Mattis Ave
City
State
Zip
61821-2460
Phone Number
217-348-1086
Fax Number
217-355-4012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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