Individual provider · Type 1 NPI

Kandice Laray Gorres, LADC

Addiction (Substance Use Disorder) Counselor · Alexandria, MN

NPI number 1306305339 Active

Practice location

222 9th Ave W
Alexandria, MN 56308-2221

Fax (320) 763-6629

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303756 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306305339

Kandice Laray Gorres, LADC's National Provider Identifier is 1306305339, issued on Mar 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alexandria, MN. The record was last updated on Mar 19, 2019.