KANDICE LARAY GORRES (NPI# 1306305339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306305339 |
| Entity Type | Individual |
| Full Name | KANDICE LARAY GORRES |
| Credential | LADC |
| Practice Address |
222 9th Ave W Alexandria MN 56308-2221 |
| Practice Telephone | 3207633912 |
| Practice Fax Number | 3207636629 |
| Mailing Telephone | 3207633912 |
| Mailing Fax Number | 3207636629 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303756 | MN | Behavioral Health & Social Service Providers |
| Street Address |
222 9TH AVE W |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104905272 | David Hedden Peterson | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2006-11-02 |
| 1033776737 | Kari Gritz | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2019-05-29 |
| 1124685862 | Kimberly Wilkins | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2019-05-28 |
| 1427576446 | Christopher Walter Anderson | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2017-08-30 |
| 1982125506 | James Robert Vener | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2017-07-05 |
| 1659727386 | Walter Alex Gribas | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2016-05-12 |
| 1164895124 | Thomas Hertzog | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2015-11-12 |
| 1548665573 | April Mia Vaniseghem | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2014-11-04 |
| 1578968277 | Michael Ray Klein | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2014-10-24 |
| 1265835367 | Doug Paulson | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278311 | Abeba Fekade | Counselor | 2800 Eisenhower Ave Ste 210, Alexandria, VA 22314-4587 | 2020-08-31 |
| 1194239095 | Cindy Joann Bjerkaas | Counselor | 909 Broadway St, Alexandria, MN 56308-1813 | 2017-11-30 |
| 1134659956 | Candace Lynne Blood | Counselor | 5505 John Eskew Dr, Alexandria, LA 71303-3725 | 2017-06-14 |
| 1619424850 | Tamara May | Counselor | 3600 Government St, Alexandria, LA 71302-3324 | 2016-09-06 |
| 1477909455 | Janice Petty | Counselor | 4660 Kenmore Ave Ste 701, Alexandria, VA 22304-1306 | 2016-05-10 |
| 1255797965 | Charles King | Counselor | 3746 Government St Ste 8, Alexandria, LA 71302-3252 | 2016-01-11 |
| 1437525805 | Jennifer Riche | Counselor | 109 Yorktown Dr Ste A, Alexandria, LA 71303 | 2015-08-19 |
| 1861876617 | Sharon Elizabeth Spencer-rose | Counselor | 5801 Joyce St, Alexandria, LA 71302-2510 | 2015-07-10 |
| 1962880666 | Comfort Folarin | Counselor | 5615 Jackson St, Suite D, Alexandria, LA 71303-2326 | 2015-05-13 |
| 1740682608 | Yvonne Williams | Counselor | 20 S Quaker Ln, Suite 210, Alexandria, VA 22314-4583 | 2014-09-23 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on KANDICE LARAY GORRES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.