Individual
TRACEY GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4650 N PORT WASHINGTON RD, MILWAUKEE, WI 53212-1077
(414) 265-0300
Mailing address
4650 N PORT WASHINGTON RD, MILWAUKEE, WI 53212-1077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6158-125
WI
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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