person
Stacy Gorman, MS,LPC-MH
Professional Counselor in Sioux Falls, South Dakota
NPI 1114119179

Stacy Gorman is a Professional Counselor based in Minneapolis, SD and is specialized in Professional. Stacy Gorman practices in Sioux Falls, SD and has the professional credentials of MS,LPC-MH. The NPI Number for Stacy Gorman is 1114119179 and holds a License No. 06111289 (South Dakota).

The current practice location address for Stacy Gorman is 2412 S Cliff Ave, Sioux Falls, SD and can be reached out via phone at 605-322-4079 and via fax at 605-322-4080. You can also correspond with Stacy Gorman through the mailing address at PO BOX 9191, MINNEAPOLIS, MN - 55480-9191 (mailing address contact number: 605-322-6428).

Location: 2412 S Cliff Ave, Sioux Falls, SD, 55480-9191
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Provider Profile Details
NPI Number
1114119179
Provider Name
Stacy Gorman
Credential
MS,LPC-MH
Provider Entity Type
Individual
Gender
Female
Address
2412 S Cliff Ave, Sioux Falls, SD, 55480-9191
Phone Number
605-322-4079
Fax Number
605-322-4080
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6576790 05 SD
9287682 01 DAKOTACARE
institution
Provider Business Practice Location Address Details
Address
2412 S Cliff Ave
City
State
Zip
57105-4031
Phone Number
605-322-4079
Fax Number
605-322-4080
person
Provider Business Mailing Address Details
Address
2412 S Cliff Ave
City
State
Zip
57105-4031
Phone Number
605-322-4079
Fax Number
605-322-4080
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-MH2172 (South Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
06111289 (South Dakota)
Definition
Definition to come...
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