Individual
DR. ROGER LEE MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
13491 PORT REPUBLIC RD, GROTTOES, VA 24441-5216
(540) 249-3780
(540) 249-3780
Mailing address
13491 PORT REPUBLIC RD, GROTTOES, VA 24441-5216
(540) 249-3780
(540) 249-3780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0717000360
VA
Other
Enumeration date
07/12/2007
Last updated
01/11/2009
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