Provider Demographics
NPI:1699837674
Name:GOLDBERG, ESTHER FLORENCE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:FLORENCE
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 WALNUT ST.
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1535
Mailing Address - Country:US
Mailing Address - Phone:541-326-1454
Mailing Address - Fax:541-857-9883
Practice Address - Street 1:531 NE 'E' ST.
Practice Address - Street 2:SUITE B
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526
Practice Address - Country:US
Practice Address - Phone:541-326-1454
Practice Address - Fax:541-857-9883
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional