Individual
MR. JACOB LEONIDOVICH GOLDSHTEYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 774-4686
(540) 989-8893
Mailing address
2877 NORTHVIEW DR SW, ROANOKE, VA 24015-3933
(540) 798-5222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006983
VA
Other
Enumeration date
02/15/2017
Last updated
07/21/2022
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