Individual
HEIDI GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, CSAC-IT
Contact information
Practice address
108 E NORTH ST, FRIENDSHIP, WI 53934-9443
(608) 339-4505
Mailing address
108 E NORTH ST, FRIENDSHIP, WI 53934-9443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WI
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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