MEDICARE: LESLIE E GOLDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	11076123	WI

General Provider Information

NPI Number	:	1447880653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE E GOLDEN

Provider Business Mailing Address
First Line	:	2002 ATWOOD AVE STE 223
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53704-5382
Country	:	US
Telephone Number	:	608-772-3547
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 ATWOOD AVE STE 223
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53704-5382
Country	:	US
Telephone Number	:	608-772-3547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2020
Last Update Date	:	06/01/2026

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Directions to “ LESLIE E GOLDEN ” Practice Location

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