MR. Thomas Albert Goossens, LCSW

NPI #1225018815 in Peoria, Illinois

Provider Information

NPI Number: 1225018815
Entity Type: Individual
Name: MR. Thomas Albert Goossens, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Jan 19, 2006
Last Updated: Jan 2, 2016

Practice Location

Address: 7501 N UNIVERSITY ST
Address 2: SUITE 221-A
City: Peoria
State: Illinois
ZIP Code: 61614-1278
Phone: (309) 689-8878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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