Organization
DEBBIE N GOLDBERG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE N. GOLDBERG ICAADC, LPC, LLC (MEMBER MANAGER)
(717) 953-9571
Entity
Organization
Contact information
Practice address
27 SANDY LN STE 190, LEWISTOWN, PA 17044-1357
(717) 953-9571
(717) 953-9576
Mailing address
109 CHERRY RIDGE RD, STATE COLLEGE, PA 16803-3309
(717) 953-9571
(717) 953-9576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000024
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11702063
CAQH
PA
Enumeration date
02/21/2011
Last updated
05/06/2013
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