Individual provider · Type 1 NPI
Jordan Leigh Goldberg
Mental Health Counselor · Boise, ID
NPI number
1801732136
Active
Practice location
5760 W Marvin Ln Apt 184
Boise, ID 83705-6226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1801732136
Jordan Leigh Goldberg's National Provider Identifier is 1801732136, issued on Apr 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Apr 28, 2026.