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Candis M Mock, LAC
Addiction (Substance Use Disorder) Counselor in Minot, North Dakota
NPI 1922043546

Candis M Mock is an Addiction (Substance Use Disorder) Counselor based in Minot, ND and is specialized in Addiction (Substance Use Disorder). Candis M Mock practices in Minot, ND and has the professional credentials of LAC. The NPI Number for Candis M Mock is 1922043546 and holds a License No. 1523 (North Dakota).

The current practice location address for Candis M Mock is 1015 S Broadway Ste 18, Minot, ND and can be reached out via phone at 701-857-8500 and via fax at 701-857-8555.

Location: 1015 S Broadway Ste 18, Minot, ND, 58701-4667
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Provider Profile Details
NPI Number
1922043546
Provider Name
Candis M Mock
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
1015 S Broadway Ste 18, Minot, ND, 58701-4667
Phone Number
701-857-8500
Fax Number
701-857-8555
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054517 05 ND
025431 01 ND BCBS ND PIN
institution
Provider Business Practice Location Address Details
Address
1015 S Broadway Ste 18
City
State
Zip
58701-4667
Phone Number
701-857-8500
Fax Number
701-857-8555
person
Provider Business Mailing Address Details
Address
1015 S Broadway Ste 18
City
State
Zip
58701-4667
Phone Number
701-857-8500
Fax Number
701-857-8555
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1523 (North Dakota)
Definition
Definition to come...
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