Individual
TRACEY M GUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC,NCC
Contact information
Practice address
6304 KELLY PL, WESTON, WI 54476-4397
(715) 574-5577
(715) 679-3080
Mailing address
6304 KELLY PL, WESTON, WI 54476-4397
(715) 574-5577
(715) 679-3080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
7316
WI
Other
Enumeration date
06/09/2017
Last updated
09/22/2025
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