| Doctor Name: | JOEL JB CAGWIN |
| NPI Number: | 1033323464 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 106 W Pierce St Elburn, IL - 601198201 |
| Business Phone Number: | 6303650899 |
| Business Fax Number: | 6303659150 |
| Mailing Address: | 3s261 Briarwood Dr, WARRENVILLE |
| State: | IL |
| Postal Code: | 605552629 |
| Phone Number: | 6303650899 |
| Fax Number: | 6303659150 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |