JAY EZRA GOLD

FRIDLEY, MN
NPI1871316547
Other NameJ GOLD
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  13202)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  306430)
Enumeration Date2024-11-01
Last Update Date2024-11-01
Business Address
JAY EZRA GOLD LICSW, LADC
520 OSBORNE RD NE
FRIDLEY, MN 55432-2718
Phone number: 763-236-4579
Mailing Address
JAY EZRA GOLD LICSW, LADC
520 OSBORNE RD NE
FRIDLEY, MN 55432-2718
Phone number: 763-236-4579