Individual
TRACY GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3970 S 700 E, #17, SALT LAKE CITY, UT 84107-2191
(801) 639-9544
Mailing address
1583 S 1600 E, SALT LAKE CITY, UT 84105-2829
(801) 597-5386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
364944-6004
UT
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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