Individual
DR. GABRIEL LAVAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4712 TUCKASEEGEE RD, CHARLOTTE, NC 28208-2508
(704) 391-7598
(704) 398-0377
Mailing address
2426 ROB ROY CT, CHARLOTTE, NC 28208-7413
(704) 391-7598
(704) 398-0377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4666
NC
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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