Individual
STEPHANIE NICOLE GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
871 LOWCOUNTRY BLVD, MOUNT PLEASANT, SC 29464-3066
(843) 501-1009
Mailing address
108 MOCKERNUT DR, LADSON, SC 29456-3892
(843) 693-7857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7106
SC
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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