Individual provider · Type 1 NPI
Jacqueline Christine Golob
Professional Counselor · New Brighton, MN
NPI number
1679040596
Active
Practice location
1267 Robin Lane
New Brighton, MN 55112
Mailing address
5115 Excelsior Blvd # 709
St. Louis Park, MN 55416-2906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 3179 (MN) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1679040596
Jacqueline Christine Golob's National Provider Identifier is 1679040596, issued on Oct 29, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Brighton, MN. The record was last updated on Jun 16, 2023.