Individual
LARUE ROGERS NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
72 BLUE RIDGE LN, BURNSVILLE, NC 28714-7270
(828) 682-2111
Mailing address
1 INGLEWOOD RD, ASHEVILLE, NC 28804-1615
(828) 450-0575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16127
NC
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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