Individual
JULIA GOLDBURT
Active
Individual
JULIA GOLDBURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0015013
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216352
PTAN
—
Enumeration date
05/13/2013
Last updated
01/24/2025
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