Individual
DAVID NEAL GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC 6008
Contact information
Practice address
847 PARKCENTRE WAY STE 4, NAMPA, ID 83651-1794
(208) 467-2673
Mailing address
1843 E MEADOWGRASS ST, MERIDIAN, ID 83646-7314
(407) 666-8911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC 10268
ID
101YM0800X
Mental Health Counselor
IMH9472
FL
101YM0800X
Mental Health Counselor
Primary
LCPC 6008
ID
101YP2500X
Professional Counselor
LCPC 6008
ID
Other
Enumeration date
11/30/2012
Last updated
07/25/2016
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