Most Relevant Information
Provider Data
| NPI Number: | 1003270133 |
| Provider Name: | STEPHANIE GOGARN MA, LLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 6401015356 |
Most Important Dates
| Enumeration Date: | 04/05/2016 |
| Last Updated: | 04/05/2016 |
Provider Practice Location
5010 DELBROOK AVE
LANSING
MI
489105386
Practice Location Phone/Fax
| Phone: | 5174100843 |
| Fax: |
Provider Mailing Location
5010 DELBROOK AVE
LANSING
MI
489105386
Provider Mailing Phone/Fax
| Phone: | 5174100843 |
| Fax: |