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Individual

THOMAS R. CHICORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAS, LPC

Contact information

Practice address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 939-1100
(704) 939-1120
Mailing address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 939-1100
(704) 939-1120

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
742
NC
101YM0800X
Mental Health Counselor
6561
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6111851
NC
Enumeration date
06/15/2006
Last updated
11/27/2007
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