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Tracie B Goodspeed, M.Ed., LPC

Counselor, Mental Health in Muskogee, OK. Individual provider (NPI-1).

NPI number1265683403
StatusActive
Last updated in NPPESDec 19, 2011

Details

NPI
1265683403
Entity type
Individual (NPI-1)
Name
Tracie B Goodspeed
Credential
M.Ed., LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 7, 2008
Last updated
Dec 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101YS0200X Counselor, School––

Practice location

1305 S Country Club Rd
Muskogee, OK 74403-7802

Phone 918-668-5588 · Fax 918-686-6885

Mailing address

3941 S 1st St W
Muskogee, OK 74401-8915

Phone 918-687-3730

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