Individual provider · Type 1 NPI
Leroy Wilson Glenn Jr., LCAS
Addiction (Substance Use Disorder) Counselor · Lexington, NC
NPI number
1831243054
Active
Practice location
220 East First Avenue Extension, Suite 10
Lexington, NC 27292-3355
Fax (336) 249-9920
Mailing address
1404 Santolina Ln
Lewisville, NC 27023-8622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 688 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1831243054
Leroy Wilson Glenn Jr., LCAS's National Provider Identifier is 1831243054, issued on Jan 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lexington, NC. The record was last updated on Jul 8, 2007.