Dorman, John M

Dorman, John M is an individual health care provider with primary practice located at 403 Stony Landing Rd , Moncks Corner SC 29461-3967. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dorman, John M can be contacted via phone (843) 761-8282.

Contact Information

Primary practice address
403 Stony Landing Rd Moncks Corner SC 29461-3967
Phone: (843) 761-8282
Fax: (843) 761-7308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC5268 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5268 South Carolina

Profile Details

NPI number 1013009562
LBN Legal business name Dorman, John M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013009562 NPPES
South Carolina MEDICAID 435201
South Carolina MEDICAID 1760596480

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