Jordan Leigh Goldberg
Counselor, Mental Health in Boise, ID. Individual provider (NPI-1).
NPI number1801732136
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1801732136
- Entity type
- Individual (NPI-1)
- Name
- Jordan Leigh Goldberg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2026
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
5760 W Marvin Ln Apt 184Boise, ID 83705-6226
Phone 814-881-1079
Mailing address
5760 W Marvin Ln Apt 184Boise, ID 83705-6226
Phone 814-881-1079
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