Individual provider · Type 1 NPI
Candace Renee Gorham, MA, LPC
Mental Health Counselor · Durham, NC
NPI number
1528489333
Active
Practice location
607 Dupree St
Durham, NC 27701-4527
Mailing address
4104 Brenmar Ln
Durham, NC 27713-8172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8421 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1528489333
Candace Renee Gorham, MA, LPC's National Provider Identifier is 1528489333, issued on Dec 20, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Feb 13, 2018.