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Myles Godshall Van Camp
Mental Health Counselor in Glen Ellyn, Illinois
NPI 1508483926

Myles Godshall Van Camp is a Mental Health Counselor based in Wheaton, IL and is specialized in Mental Health. Myles Godshall Van Camp practices in Glen Ellyn, IL. The NPI Number for Myles Godshall Van Camp is 1508483926 and holds a License No. (Illinois).

The current practice location address for Myles Godshall Van Camp is 45 S Park Blvd Ste 200, Glen Ellyn, IL and can be reached out via phone at 630-423-5935.

Location: 45 S Park Blvd Ste 200, Glen Ellyn, IL, 60187-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508483926
Provider Name
Myles Godshall Van Camp
Credential
Provider Entity Type
Individual
Gender
Male
Address
45 S Park Blvd Ste 200, Glen Ellyn, IL, 60187-3523
Phone Number
630-423-5935
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
45 S Park Blvd Ste 200
City
Glen Ellyn
State
Illinois
Zip
60137-6282
Phone Number
630-423-5935
Fax Number
person
Provider Business Mailing Address Details
Address
45 S Park Blvd Ste 200
City
Glen Ellyn
State
Illinois
Zip
60137-6282
Phone Number
630-423-5935
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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