Individual
NYCOLE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
830 PLEASANT ST STE 201, SAINT JOSEPH, MI 49085-2279
(269) 982-3832
Mailing address
830 PLEASANT ST STE 201, SAINT JOSEPH, MI 49085-2279
(269) 982-3832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401225034
MI
101YM0800X
Mental Health Counselor
6451022527
MI
Other
Enumeration date
02/03/2023
Last updated
04/25/2025
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