Individual
MR. JACOB GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LMSW,LAC,CCS
Contact information
Practice address
5620 READ BLVD FL 5, NEW ORLEANS, LA 70127-3106
(504) 513-4200
Mailing address
5620 READ BLVD FL 5, NEW ORLEANS, LA 70127-3106
(504) 513-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1460
LA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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