Individual
GINA MARIE DAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC; LCAS
Contact information
Practice address
515 KEISLER DR STE 104, CARY, NC 27518-7097
(949) 231-7595
(833) 485-4608
Mailing address
515 KEISLER DR STE 104, CARY, NC 27518-7097
(949) 231-7595
(833) 485-4608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A13622
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25241
NC
Other
Enumeration date
03/07/2019
Last updated
04/01/2026
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