person
Mr. Wayne Bruce Gore, MED,CSAC
Addiction (Substance Use Disorder) Counselor in Leesburg, Virginia
NPI 1164520029

Wayne Bruce Gore is an Addiction (Substance Use Disorder) Counselor based in Purcellville, VA and is specialized in Addiction (Substance Use Disorder). Wayne Bruce Gore practices in Leesburg, VA and has the professional credentials of MED,CSAC. The NPI Number for Wayne Bruce Gore is 1164520029 and holds a License No. 0710101151 (Virginia).

The current practice location address for Wayne Bruce Gore is 102 Heritage Way Ne Ste 302, Leesburg, VA and can be reached out via phone at 703-771-5100 and via fax at 703-777-0170.

Location: 102 Heritage Way Ne Ste 302, Leesburg, VA, 20132-4111
person
Provider Profile Details
NPI Number
1164520029
Provider Name
Wayne Bruce Gore
Credential
MED,CSAC
Provider Entity Type
Individual
Gender
Male
Address
102 Heritage Way Ne Ste 302, Leesburg, VA, 20132-4111
Phone Number
703-771-5100
Fax Number
703-777-0170
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
102 Heritage Way Ne Ste 302
City
State
Zip
20176-4544
Phone Number
703-771-5100
Fax Number
703-777-0170
person
Provider Business Mailing Address Details
Address
102 Heritage Way Ne Ste 302
City
State
Zip
20176-4544
Phone Number
703-771-5100
Fax Number
703-777-0170
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710101151 (Virginia)
Definition
Definition to come...
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