Individual provider · Type 1 NPI

Jordan L. Goldberg, LADC

Addiction (Substance Use Disorder) Counselor · Enfield, CT

NPI number 1235720665 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Call (860) 253-5020 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1651 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235720665

Jordan L. Goldberg, LADC's National Provider Identifier is 1235720665, issued on Jan 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Enfield, CT. The record was last updated on Dec 18, 2025.