Individual provider · Type 1 NPI

Emily Goeglein

Professional Counselor · Jackson, MS

NPI number 1104423268 Active

Practice location

1855 Lakeland Dr
Jackson, MS 39216-4913

Mailing address

526 Broadway Ave
Jackson, MS 39216-3203

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP-0633 (MS)

Professional Counselor: Definition to come...

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About NPI 1104423268

Emily Goeglein's National Provider Identifier is 1104423268, issued on Oct 2, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Oct 2, 2020.