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Individual

PAIGE LEIGH GOSSETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, MS

Contact information

Practice address
1209 N FANT ST, ANDERSON, SC 29621-4821
(864) 353-3384
Mailing address
220 LEBANON RD, PENDLETON, SC 29670-1924
(770) 570-0043

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC006799
GA
101YP2500X
Professional Counselor
Primary
8805
SC
101YP2500X
Professional Counselor
LPC013592
GA

Other

Enumeration date
01/31/2022
Last updated
10/17/2023
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