Individual provider · Type 1 NPI

Candis M. Mock, LAC

Addiction (Substance Use Disorder) Counselor · Minot, ND

NPI number 1922043546 Active

Practice location

1015 S Broadway Ste 18
Minot, ND 58701-4667

Fax (701) 857-8555

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1523 (ND)

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

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About NPI 1922043546

Candis M. Mock, LAC's National Provider Identifier is 1922043546, issued on Jun 18, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minot, ND. The record was last updated on Jul 8, 2007.