| Doctor Name: | MR. TERRILL DEAN ROGERS |
| NPI Number: | 1033245444 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC, CACIII |
| License Number: | 1641 |
| Business Practice Address: | 460 County Road 43a Bailey, CO - 80421 |
| Business Phone Number: | 3038385013 |
| Business Fax Number: | 3038385867 |
| Mailing Address: | 347 S Pine Dr, BAILEY |
| State: | CO |
| Postal Code: | 804212330 |
| Phone Number: | 3034208080 |
| Fax Number: | 3036975083 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 05/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |