Individual
JACQUELINE CHRISTINE GOLOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1267 ROBIN LANE, NEW BRIGHTON, MN 55112
(507) 571-2942
Mailing address
5115 EXCELSIOR BLVD # 709, ST LOUIS PARK, MN 55416-2906
(507) 571-2942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3179
MN
Other
Enumeration date
10/29/2018
Last updated
06/16/2023
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