Individual
JENNIFER GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
617 E ELM ST, SALINA, KS 67401
(785) 825-6224
(785) 825-7595
Mailing address
617 E ELM ST, SALINA, KS 67401-8537
(785) 825-6224
(785) 825-7595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00850061
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200363150A
—
KS
Enumeration date
08/19/2014
Last updated
07/11/2019
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