Individual
MRS. STEPHANIE JILL GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
STEPHANIE JILL GORMAN, LPC LLC, 100 STARR AVENUE SUITE K, STARKVILLE, MS 39759
(662) 648-8477
(844) 235-2943
Mailing address
100 STARR AVENUE, SUITE K, STARKVILLE, MS 39759
(662) 648-8477
(844) 235-2943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2210
MS
101YP2500X
Professional Counselor
LPC0006279
GA
Other
Enumeration date
01/17/2011
Last updated
09/08/2022
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