Individual
GEORGIANNA DORCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1617 25TH AVE, GULFPORT, MS 39501-2834
(228) 324-4488
Mailing address
1617 25TH AVE, GULFPORT, MS 39501-2834
(228) 324-4488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2696
MS
101YP2500X
Professional Counselor
Primary
—
MS
Other
Enumeration date
04/12/2018
Last updated
05/09/2024
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