Organization
GATES PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE NELSON GATES DMIN, MA, LPA, LPCS (OWNER)
(910) 793-6144
Entity
Organization
Contact information
Practice address
1606 WELLINGTON AVE, WILMINGTON, NC 28401-7747
(910) 793-6144
(910) 793-6140
Mailing address
1606 WELLINGTON AVE, WILMINGTON, NC 28401-7747
(910) 793-6144
(910) 793-6140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2291
NC
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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