Goll, John

Goll, John is an sole proprietor health care provider with primary practice located at 2100 Manchester Rd Ste 400-A , Wheaton IL 60187-4579. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Goll, John can be contacted via phone (703) 348-2773.

Contact Information

Primary practice address
2100 Manchester Rd Ste 400-A Wheaton IL 60187-4579
Phone: (703) 348-2773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001611A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001255 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.001069 Illinois

Profile Details

NPI number 1861516619
LBN Legal business name Goll, John
Credentials L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Dec 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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