Individual
LAURA L GOERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, CSW, ICS
Contact information
Practice address
1415 MERRILL AVE STE 210, WAUSAU, WI 54401-2636
(715) 680-0608
(715) 907-1062
Mailing address
1415 MERRILL AVE STE 210, WAUSAU, WI 54401-2636
(715) 680-0608
(715) 907-1062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15583
WI
101YP2500X
Professional Counselor
Primary
4221-125
WI
104100000X
Social Worker
9182-120
WI
Other
Enumeration date
10/14/2009
Last updated
01/25/2024
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