Individual
MR. GEORGE ROGER LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, LPC
Contact information
Practice address
130 CENTER AVE, BLACK MOUNTAIN, NC 28711-3509
(828) 620-0786
Mailing address
PO BOX 1544, BLACK MOUNTAIN, NC 28711-1544
(828) 713-2163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
846
NC
101YM0800X
Mental Health Counselor
Primary
4198
NC
Other
Enumeration date
12/25/2006
Last updated
03/25/2019
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