Individual
MRS. JEREEN MARIA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, RN
Contact information
Practice address
4425 E AGAVE RD, PHOENIX, AZ 85044-0619
(480) 753-5045
Mailing address
4425 E AGAVE RD, PHOENIX, AZ 85044-0619
(480) 753-5045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 1272
AZ
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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