Individual
MR. JERRY WAYNE GUY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCASA
Contact information
Practice address
310 W 3RD AVE, GASTONIA, NC 28052-4004
(980) 285-4347
(704) 842-3874
Mailing address
1051 OBARR DR, GASTONIA, NC 28054-6455
(704) 980-2854
(704) 842-3874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21555
NC
Other
Enumeration date
10/05/2015
Last updated
05/28/2025
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