Organization
DR. L. WAYNE ROBERTSON
Active
Other names
Carolina Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON WAYNE ROBERTSON ED.D. (LICENSED PSYCHOLOGIST)
(252) 586-4205
Entity
Organization
Contact information
Practice address
158 DRUMGOLD RD, LITTLETON, NC 27850-9415
(252) 586-4205
(252) 586-4205
Mailing address
158 DRUMGOLD RD, LITTLETON, NC 27850-9415
(252) 586-4205
(252) 586-4205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
HSP-P 1252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSP-P 1252
NORTH CAROLINA PSYCHOLOGY BOARD
NC
Enumeration date
09/16/2009
Last updated
12/30/2011
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