Individual provider · Type 1 NPI

Stacy Gorman, MS, LPC-MH

Professional Counselor · Sioux Falls, SD

NPI number 1114119179 Active

Practice location

2412 S Cliff Ave, Suite 200
Sioux Falls, SD 57105-4031

Call (605) 322-4079 Map

Fax (605) 322-4080

Mailing address

PO Box 9191
Minneapolis, MN 55480-9191

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X06111289 (SD)
Professional Counselor Primary 101YP2500XLPC-MH2172 (SD)

Professional Counselor: Definition to come...

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About NPI 1114119179

Stacy Gorman, MS, LPC-MH's National Provider Identifier is 1114119179, issued on Aug 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sioux Falls, SD. The record was last updated on Mar 5, 2010.