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Individual
DEB N GOLDBERG
Active
Individual
DEB N GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICAADC, LPC, PMH
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC 3835
PA
101YM0800X
Mental Health Counselor
Primary
LPC 000024
PA
101YM0800X
Mental Health Counselor
PMH 1364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11702063
CAQH UNIVERSAL CREDENTIALING DATASOURCE
PA
Enumeration date
10/10/2006
Last updated
03/02/2016
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