Individual
STEPHANIE LANDERS FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CAC II, MAC
Contact information
Practice address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
Mailing address
237 BEECH CREEK RD, JOHNSTON, SC 29832-4423
(803) 637-1754
(803) 637-1727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
149
SC
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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