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Individual
MR. KEVEN MARK POORE
Active
Individual
MR. KEVEN MARK POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, DCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
PC004965
PA
Other
Enumeration date
10/25/2006
Last updated
03/30/2011
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