Individual
DR. RONALD FLACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS, CSI
Contact information
Practice address
1520 BOWMORE PL, MC LEANSVILLE, NC 27301-9248
(336) 601-3621
Mailing address
1520 BOWMORE PL, MC LEANSVILLE, NC 27301-9248
(336) 601-3621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24002
NC
Other
Enumeration date
11/11/2014
Last updated
01/09/2024
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