Individual
MRS. CANDACE RENEE GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
607 DUPREE ST, DURHAM, NC 27701-4527
(919) 491-3326
Mailing address
4104 BRENMAR LN, DURHAM, NC 27713-8172
(919) 885-5123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8421
NC
Other
Enumeration date
12/20/2013
Last updated
02/13/2018
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