Individual
HEATHER GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4995 BRADENTON AVE STE 110, DUBLIN, OH 43017-3551
(614) 515-2500
(614) 573-0530
Mailing address
17825 CRADLER TURNER RD, MARYSVILLE, OH 43040-9336
(937) 707-4662
(833) 392-1202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171106
OH
Other
Enumeration date
09/21/2023
Last updated
11/15/2023
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