Individual
MR. ALEX B GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CSAC
Contact information
Practice address
11414 W PARK PLACE SUITE 202, MILWAUKEE, WI 53224
(414) 292-7060
(414) 871-9121
Mailing address
11414 W PARK PLACE SUITE 202, MILWAUKEE, WI 53224
(414) 292-7060
(888) 965-2080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14468-132
WI
101YP2500X
Professional Counselor
Primary
4808-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39175300
—
WI
Enumeration date
04/09/2008
Last updated
01/14/2020
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