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Organization
THE KGR GROUP PLLC
Active
Organization
THE KGR GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA ROGERS PHD,LCMHC,LCAS,CRC (OWNER)
(336) 534-5172
Entity
Organization
Contact information
Practice address
5 CENTERVIEW DR STE 110, GREENSBORO, NC 27407-3709
(336) 534-5172
(336) 232-9454
Mailing address
1 KENTBURY CIR, GREENSBORO, NC 27406-9340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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