Leroy Wilson Glenn JR., LCAS

NPI #1831243054 in Lexington, North Carolina

Provider Information

NPI Number
1831243054
Entity Type
Individual
Name
Leroy Wilson Glenn JR., LCAS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCAS
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
220 EAST FIRST AVENUE EXTENSION
Address 2
SUITE 10
ZIP Code
27292-3355
Phone
(336) 242-2450

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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