Individual provider · Type 1 NPI

Roger G. Mortise, LPC

Professional Counselor · Fredericksburg, VA

NPI number 1629614052 Active

Practice location

306 Westwood Office Park
Fredericksburg, VA 22401-5108

Call (540) 699-0226 Map

Fax (540) 699-0224

Mailing address

5374 Twin Hickory Rd
Glen Allen, VA 23059-5682

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701008698 (VA)

Professional Counselor: Definition to come...

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About NPI 1629614052

Roger G. Mortise, LPC's National Provider Identifier is 1629614052, issued on Nov 20, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fredericksburg, VA. The record was last updated on Nov 20, 2019.