Mr. Bradley Carlyle Goben, MALCPC
Mr. Bradley Carlyle Goben, MALCPC is a Professional Counselor in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
313 N Mattis AveChampaign, IL 61821-2460
Phone: (217) 348-1086
Fax: (217) 355-4012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (IL) |
|---|
Record details
| NPI number | 1073645578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MALCPC |
| Sole proprietor | No |
| NPI enumerated | March 10, 2007 |
| Last updated in NPPES | July 8, 2007 |
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