Individual
MISS CHRISTISHAWN REBECCA GORE
Active
Individual
MISS CHRISTISHAWN REBECCA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
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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