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REBECCA A ROGERS MH COUNSELOR

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1730360975

Individual Registrant:
 REBECCA A ROGERS MH COUNSELOR
Gender: F
Sole Proprietor

Location and contact information for practice:
565 CLOVER DR  UPPER LAKE, CA 95485-9233 US
Tel: 707-275-9555  Fax: 707-275-9555

Contact information for business:
565 CLOVER DR  UPPER LAKE, CA 95485-9233 US
Tel: 707-275-9555  Fax: --

Registration Information:
NPI: 1730360975
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
N101YP1600XBehavioral Health & Social Service Providers
Counselor
CAAMF06116104

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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