Individual provider · Type 1 NPI
William Garver Gillen, PHD LCPC
Professional Counselor · Decatur, IL
NPI number
1235294802
Active
Practice location
1770 East Lakeshore Drive, Suite 209
Decatur, IL 62521
Fax (217) 428-7581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1235294802
William Garver Gillen, PHD LCPC's National Provider Identifier is 1235294802, issued on Dec 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Jul 8, 2007.