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DR. ROGER LEE MACE D.MIN.
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1386843274
Individual Registrant:DR. ROGER LEE MACE D.MIN.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
13491 PORT REPUBLIC RD GROTTOES, VA 24441-5216 US
Tel: 540-249-3780 Fax: 540-249-3780
Tel: 540-249-3780 Fax: 540-249-3780
Contact information for business:
13491 PORT REPUBLIC RD GROTTOES, VA 24441-5216 US
Tel: 540-249-3780 Fax: 540-249-3780
Tel: 540-249-3780 Fax: 540-249-3780
Registration Information:
NPI: 1386843274
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | VA | 0717000360 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
