Provider Demographics
NPI:1205874344
Name:SIKORSKI, STAN J (LPC)
Entity type:Individual
Prefix:MR
First Name:STAN
Middle Name:J
Last Name:SIKORSKI
Suffix:
Gender:M
Credentials:LPC
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Mailing Address - Street 1:4142 BELLFLOWER CT NE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2674
Mailing Address - Country:US
Mailing Address - Phone:770-642-8018
Mailing Address - Fax:770-642-6310
Practice Address - Street 1:2265 ROSWELL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2974
Practice Address - Country:US
Practice Address - Phone:404-293-9497
Practice Address - Fax:770-642-6310
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA1226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional