Gorrell, Richard Allen

Gorrell, Richard Allen is an individual health care provider with primary practice located at 410 E Shockley Ferry Road , Anderson SC 29624-3847. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Gorrell, Richard Allen can be contacted via phone (864) 225-6266.

Contact Information

Primary practice address
410 E Shockley Ferry Road Anderson SC 29624-3847
Phone: (864) 225-6266
Fax: (864) 225-6267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4571 South Carolina

Profile Details

NPI number 1447428552
LBN Legal business name Gorrell, Richard Allen
Credentials MED LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 12th, 2008 - about 18 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 1447428552 NPPES
South Carolina MEDICAID GP1385

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