Individual
MS. CARRIE ELLEN LOFSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CPCS
Contact information
Practice address
513 GLOUCESTER ST., BRUNSWICK, GA 31520
(912) 289-2497
(912) 289-9389
Mailing address
513 GLOUCESTER ST., BRUNSWICK, GA 31520
(678) 595-4723
(912) 289-9389
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008781
GA
Other
Enumeration date
01/06/2017
Last updated
01/31/2024
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