Individual provider · Type 1 NPI

Jerel Lemar Goforth

Addiction (Substance Use Disorder) Counselor · Virginia Beach, VA

NPI number 1972451771 Active

Practice location

1728 Virginia Beach Blvd
Virginia Beach, VA 23454-4533

Mailing address

5605 Larry Ave
Virginia Beach, VA 23462-1713

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972451771

Jerel Lemar Goforth's National Provider Identifier is 1972451771, issued on Mar 18, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Virginia Beach, VA. The record was last updated on Mar 18, 2026.