Individual provider · Type 1 NPI

Candice Yvonne Gore, LCAS

Addiction (Substance Use Disorder) Counselor · Wilmington, NC

NPI number 1750614079 Active

Practice location

1606 Wellington Ave Unit C, Community Support Professionals,llc
Wilmington, NC 28401-7704

Fax (910) 799-4345

Mailing address

4321 Tillson Road
Wilmington, NC 28412

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1759 (NC)
Marriage & Family Therapist 106H00000XNone listed

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

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About NPI 1750614079

Candice Yvonne Gore, LCAS's National Provider Identifier is 1750614079, issued on Sep 18, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, NC. The record was last updated on Apr 10, 2013.