Individual
STACIE KAMILLE GORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
5804 HILTON HEAD DR, NORTH RICHLAND HILLS, TX 76180-0830
(432) 212-1490
Mailing address
5804 HILTON HEAD DR, NORTH RICHLAND HILLS, TX 76180-0830
(432) 212-1490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70397
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
11925
TX
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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