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Jessica Diane Goldberg
Mental Health Counselor in Lynwood, California
NPI 1194058545

Jessica Diane Goldberg is a Mental Health Counselor based in Lynwood, CA and is specialized in Mental Health. Jessica Diane Goldberg practices in Lynwood, CA. The NPI Number for Jessica Diane Goldberg is 1194058545 and holds a License No. A76156 (California).

The current practice location address for Jessica Diane Goldberg is 2640 Industry Way, Lynwood, CA and can be reached out via phone at 310-627-4525.

Location: 2640 Industry Way, Lynwood, CA, 90262-4284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194058545
Provider Name
Jessica Diane Goldberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
2640 Industry Way, Lynwood, CA, 90262-4284
Phone Number
310-627-4525
Fax Number
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2640 Industry Way
City
Lynwood
State
California
Zip
90262-4284
Phone Number
310-627-4525
Fax Number
person
Provider Business Mailing Address Details
Address
2640 Industry Way
City
Lynwood
State
California
Zip
90262-4284
Phone Number
310-627-4525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A76156 (California)
Definition
Definition to come...
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