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REBECCA A ROGERS MH COUNSELOR
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1730360975
Individual Registrant: REBECCA A ROGERS MH COUNSELOR
Gender: F
Sole Proprietor
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
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: --
Tel: 707-275-9555 Fax: --
Registration Information:
NPI: 1730360975
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ||
| N | 101YP1600X | Behavioral Health & Social Service Providers Counselor | CA | AMF06116104 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
