Individual
E VAUGHAN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LCDC
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5310
Mailing address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12668
TX
1041C0700X
Clinical Social Worker
Primary
51165
TX
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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