Individual
MRS. TRACEY GOLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC/A
Contact information
Practice address
4615 FOREST DR APT 243, COLUMBIA, SC 29206-3172
(404) 807-6456
Mailing address
4615 FOREST DR APT 243, COLUMBIA, SC 29206-3172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7872
SC
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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