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Individual
MS. STACEY SUZANNE GOBINS
Active
Individual
MS. STACEY SUZANNE GOBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22674
NY
101YM0800X
Mental Health Counselor
Primary
006001
NY
101YM0800X
Mental Health Counselor
16257
NC
Other
Enumeration date
01/11/2017
Last updated
08/21/2023
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