Individual
MS. LORI M GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
200 W. 5TH NORTH STREET, SUITE C, SUMMERVILLE, SC 29483-6512
(843) 695-8865
(843) 695-8517
Mailing address
200 W. 5TH NORTH STREET, SUITE C, SUMMERVILLE, SC 29483-6512
(843) 695-8865
(843) 695-8517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
07/11/2013
Last updated
11/20/2019
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