Individual
STACEY DAWN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
200 PIEDMONT BLVD STE 100, ROCK HILL, SC 29732-1835
(803) 327-2012
Mailing address
1083 GENNETT CIR APT 405, FORT MILL, SC 29715-6246
(803) 818-0622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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