Individual
MISS CHRISTISHAWN REBECCA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
8303 PLANO CT, RALEIGH, NC 27616-6640
(919) 824-7789
Mailing address
8303 PLANO CT, RALEIGH, NC 27616-6640
(919) 824-7789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20477
NC
101YP2500X
Professional Counselor
Primary
10017
NC
Other
Enumeration date
07/24/2013
Last updated
02/28/2017
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