person
Leroy Wilson Glenn JR., LCAS
Addiction (Substance Use Disorder) Counselor in Lexington, North Carolina
NPI 1831243054

Leroy Wilson Glenn JR. is an Addiction (Substance Use Disorder) Counselor based in Lewisville, NC and is specialized in Addiction (Substance Use Disorder). Leroy Wilson Glenn JR. practices in Lexington, NC and has the professional credentials of LCAS. The NPI Number for Leroy Wilson Glenn JR. is 1831243054 and holds a License No. 688 (North Carolina).

The current practice location address for Leroy Wilson Glenn JR. is 220 East First Avenue Extension, Lexington, NC and can be reached out via phone at 336-242-2450 and via fax at 336-249-9920.

Location: 220 East First Avenue Extension, Lexington, NC, 27023-8622
person
Provider Profile Details
NPI Number
1831243054
Provider Name
Leroy Wilson Glenn JR.
Credential
LCAS
Provider Entity Type
Individual
Gender
Male
Address
220 East First Avenue Extension, Lexington, NC, 27023-8622
Phone Number
336-242-2450
Fax Number
336-249-9920
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
688 01 NC LCAS
institution
Provider Business Practice Location Address Details
Address
220 East First Avenue Extension
City
State
Zip
27292-3355
Phone Number
336-242-2450
Fax Number
336-249-9920
person
Provider Business Mailing Address Details
Address
220 East First Avenue Extension
City
State
Zip
27292-3355
Phone Number
336-242-2450
Fax Number
336-249-9920
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
688 (North Carolina)
Definition
Definition to come...
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