Individual provider · Type 1 NPI

Timothy Goad, BGS

Addiction (Substance Use Disorder) Counselor · Anna, IL

NPI number 1336861772 Active

Practice location

800 N Main St
Anna, IL 62906-1665

Call (618) 833-4456 Map

Fax (618) 833-2371

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336861772

Timothy Goad, BGS's National Provider Identifier is 1336861772, issued on Sep 13, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anna, IL. The record was last updated on Sep 13, 2022.