Individual
MR. IRA JACK GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS MFT LADC
Contact information
Practice address
3602 E SUNSET RD, SUITE 100, LAS VEGAS, NV 89120-7230
(702) 932-4308
(702) 837-8930
Mailing address
3602 E SUNSET RD, SUITE 100, LAS VEGAS, NV 89120-7230
(702) 932-4308
(702) 837-8930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
290L
NV
106H00000X
Marriage & Family Therapist
Primary
0235
NV
Other
Enumeration date
08/17/2006
Last updated
02/18/2011
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