Organization
FORENSIC COUNSELING ASSOCIATES, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS M. STABP (PRESIDENT)
(864) 607-2833
Entity
Organization
Contact information
Practice address
124 EDINBURGH CT STE 105, GREENVILLE, SC 29607-2542
(864) 607-2833
(864) 412-3351
Mailing address
124 EDINBURGH CT STE 105, GREENVILLE, SC 29607-2542
(864) 607-2833
(864) 412-3351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134
—
SC
Enumeration date
05/02/2013
Last updated
06/13/2019
Update your record
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