CANDICE YVONNE GORE LCAS NPI 1750614079

NPI Information

NPI: 1750614079
Provider Name: CANDICE YVONNE GORE, LCAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1606 WELLINGTON AVE UNIT C
COMMUNITY SUPPORT PROFESSIONALS,LLC
WILMINGTON, NC
ZIP 28401
Phone: (910) 799-4505
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Candice Yvonne Gore, LCAS is an addiction (substance use disorder) counselor in Wilmington, NC. Candice Yvonne Gore, LCAS NPI is 1750614079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1606 WELLINGTON AVE UNIT C
COMMUNITY SUPPORT PROFESSIONALS,LLC
WILMINGTON, NC
ZIP 28401-704
Phone: (910) 799-4505
Fax: (910) 799-4345

The enumeration date for this NPI number is 9/18/2009 and was last updated on 4/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1759	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1759	OTHER	NORTH CAROLINA	NORTH CAROLINA SUBSTANCE ABUSE PRACTICE BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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