Provider Demographics
NPI:1184781163
Name:STOCKWELL, STEPHANIE KNORR (LPC)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:KNORR
Last Name:STOCKWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WAPPOO CREEK DR
Mailing Address - Street 2:2-B
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2134
Mailing Address - Country:US
Mailing Address - Phone:843-406-0013
Mailing Address - Fax:843-406-0013
Practice Address - Street 1:105 WAPPOO CREEK DR
Practice Address - Street 2:2-B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2134
Practice Address - Country:US
Practice Address - Phone:843-406-0013
Practice Address - Fax:843-406-0013
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2229101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor