Individual
JOHN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2509 PARK AVE STE 2B, SOUTH PLAINFIELD, NJ 07080-5369
(973) 454-6711
Mailing address
2509 PARK AVE STE 2B, SOUTH PLAINFIELD, NJ 07080-5369
(973) 454-6711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37L00233200
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00233200
NJ
101YM0800X
Mental Health Counselor
37PC00590800
NJ
101YM0800X
Mental Health Counselor
37PC00590800
PA
101YP2500X
Professional Counselor
PC008591
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
37LC00233200
NJ
103TB0200X
Cognitive & Behavioral Psychologist
37PC00590800
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
37PC00590800
NJ
103TF0000X
Family Psychologist
37PC00590800
NJ
Other
Enumeration date
03/07/2016
Last updated
10/18/2019
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