Candis M Mock, LAC
NPI #1922043546 in Minot, North Dakota
Provider Information
- NPI Number
- 1922043546
- Entity Type
- Individual
- Name
- Candis M Mock, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LAC
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1015 S BROADWAY STE 18
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-4667
- Phone
- (701) 857-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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