Individual
MR. GARY PRIRCHARD STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
1141 N ROAD ST, ELIZABETH CITY, NC 27909-3354
(252) 331-2120
(252) 331-1796
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7540
(252) 752-0074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3184
NC
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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