Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WAYNE BRUCE GORE, MED, CSAC
ActiveMR. WAYNE BRUCE GORE, MED, CSAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LEESBURG, Virginia. NPI 1164520029 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LEESBURG, VA
Registration Details
- NPI Number
- 1164520029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.854289145221 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0710101151 (VA)
Practice Information
- Address
-
102 HERITAGE WAY NE STE 302LEESBURG, VA, 201764544Browse VA providers · Browse ZIP 20176
- Phone
- 7037715100
- Fax
- 7037770170
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LEESBURG, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. THERESA MARIE GEORGE | LPC | 1760592612 |
| MS. JENNIFER LAUREN WALL | LPC | 1699885095 |
| AMY E. ILIFFE | MA, M.ED. | 1790887289 |
| LAURIE BARTON | M.A. | 1285737338 |
| MRS. LINDA MOORE KINNEY | LCSW, CSAC | 1124173943 |
| MS. MEGAN KAY FAZENBAKER | LPC | 1366635336 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.