# DR. JEREMY R GOSHORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801582440
- **Gender:** Man
- **Credential:** PH.D., LCMHC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 16259 | NC | Yes |
| 101YP2500X | Professional Counselor | PC013448 | PA | — |

## Other

- **Enumeration date:** 04/17/2023
- **Last updated:** 07/11/2023