Individual
STEPHEN W SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
915 INTERSTATE RIDGE DR, GAINESVILLE, GA 30501-7076
(678) 207-2900
Mailing address
4331 THURMOND TANNER PKWY, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC004200
LICENSE NUMBER
GA
Enumeration date
08/26/2013
Last updated
08/26/2013
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