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NPI Code Detail

MEDICARE: MR. STANLEY M DORELIEN LPC

MEDICARE: MR. STANLEY M DORELIEN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC014452GA

General Provider Information

NPI Number : 1508013251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY M DORELIEN LPC
Provider Business Mailing Address
First Line : 2055 SUGARLOAF CIR STE 575
Second Line :
City : DULUTH
State : GA
Zip : 30097-9804
Country : US
Telephone Number : 404-999-7971
Fax Number : 678-534-2045
Provider Business Practice Location Address
First Line : 2055 SUGARLOAF CIR STE 575
Second Line :
City : DULUTH
State : GA
Zip : 30097-9804
Country : US
Telephone Number : 404-999-7971
Fax Number : 678-534-2045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 12/24/2025

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Directions to “ MR. STANLEY M DORELIEN LPC” Practice Location

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