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Jordan Goldstein

Case Management in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1003530320
StatusActive
Last updated in NPPESSep 29, 2022

Details

NPI
1003530320
Entity type
Individual (NPI-1)
Name
Jordan Goldstein
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 29, 2022
Certification date
Sep 29, 2022
Last updated
Sep 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1700 Yulupa Ave
Santa Rosa, CA 95405-7721

Phone 707-867-4525

Mailing address

1700 Yulupa Ave
Santa Rosa, CA 95405-7721

Phone 707-867-4525

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