| Doctor Name: | DR. JONATHAN GOLDEN |
| NPI Number: | 1013996842 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., L.P.C. |
| License Number: | 3882 |
| Business Practice Address: | 311 3rd Ave Ne Hickory, NC - 286015130 |
| Business Phone Number: | 8283226058 |
| Business Fax Number: | |
| Mailing Address: | 226 5th Avenue Ct Ne, HICKORY |
| State: | NC |
| Postal Code: | 286013816 |
| Phone Number: | 8282610146 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2006 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |