Doctor Name: | STEPHANIE ANGELA DVORAK |
NPI Number: | 1164647681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4988 |
Business Practice Address: | 366 S Main St Marion, NC - 287524527 |
Business Phone Number: | 8286591180 |
Business Fax Number: | |
Mailing Address: | 149 Poplar Dr W, MARION |
State: | NC |
Postal Code: | 287525405 |
Phone Number: | 8287249194 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 01/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |