# MS. STACEY SUZANNE GOBINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215473509
- **Gender:** F
- **Credential:** LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 22674 | NY | — |
| 101YM0800X | Mental Health Counselor | 006001 | NY | Yes |
| 101YM0800X | Mental Health Counselor | 16257 | NC | — |

## Other

- **Enumeration date:** 01/11/2017
- **Last updated:** 08/21/2023