Individual
TRACEY MICHELLE WATKINS-GOBBEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
7280 S 13TH ST, OAK CREEK, WI 53154-1831
(262) 334-4340
Mailing address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(262) 334-4341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3717-226
WI
101YP2500X
Professional Counselor
Primary
3717-226
WI
Other
Enumeration date
11/16/2017
Last updated
03/27/2020
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