Individual
MS. SUZANNE MARIE GANSCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC, BC-TMH
Contact information
Practice address
2112 BIENVILLE BLVD STE K, OCEAN SPRINGS, MS 39564-3067
(228) 819-2171
(228) 205-4986
Mailing address
2112 BIENVILLE BLVD STE K, OCEAN SPRINGS, MS 39564-3067
(228) 819-2171
(228) 205-4986
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
1053
MS
101YM0800X
Mental Health Counselor
1053
MS
101YP2500X
Professional Counselor
1053
MS
Other
Enumeration date
07/11/2006
Last updated
06/10/2024
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