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Organization
THE ANGEL GABRIEL COMPANY
Active
Organization
THE ANGEL GABRIEL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL LAVAN ROGERS PH.D. (OWNER)
(704) 281-8416
Entity
Organization
Contact information
Practice address
4712 TUCKASEEGEE RD, CHARLOTTE, NC 28208-2508
(704) 281-8416
(704) 398-0377
Mailing address
2426 ROB ROY CT, CHARLOTTE, NC 28208-7413
(704) 281-8416
(704) 398-0377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4666
NC
251S00000X
Community/Behavioral Health Agency
Primary
4666
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102820
—
NC
Enumeration date
07/13/2009
Last updated
07/13/2009
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