Individual
MRS. LINDSEY KOLB STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AADC; LISW; LAC
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9364
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10082513
SC
1041C0700X
Clinical Social Worker
15755
SC
Other
Enumeration date
11/09/2010
Last updated
02/02/2024
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