Georgianna Dorch, MS
Counselor, Professional in Gulfport, MS. Individual provider (NPI-1).
NPI number1669979977
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1669979977
- Entity type
- Individual (NPI-1)
- Name
- Georgianna Dorch
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2018
- Certification date
- May 9, 2024
- Last updated
- May 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | MS | Yes |
| 101Y00000X | Counselor | 2696 | MS |
Practice location
1617 25th AveGulfport, MS 39501-2834
Phone 228-324-4488
Mailing address
1617 25th AveGulfport, MS 39501-2834
Phone 228-324-4488
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