Jacqueline Christine Golob
Counselor, Professional in New Brighton, MN. Individual provider (NPI-1).
NPI number1679040596
StatusActive
Last updated in NPPESJun 16, 2023
Details
- NPI
- 1679040596
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Christine Golob
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2018
- Certification date
- Jun 4, 2023
- Last updated
- Jun 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3179 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1267 Robin LaneNew Brighton, MN 55112
Phone 507-571-2942
Mailing address
5115 Excelsior Blvd # 709St Louis Park, MN 55416-2906
Phone 507-571-2942
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