| Doctor Name: | MRS. OPHELIA N ROGERS |
| NPI Number: | 1194047381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED LPC |
| License Number: | 4115 |
| Business Practice Address: | 120 S Madison Ave Ste 24 Elk City, OK - 736445741 |
| Business Phone Number: | 8669266552 |
| Business Fax Number: | 5802251130 |
| Mailing Address: | 17595 E 1240 Rd, ERICK |
| State: | OK |
| Postal Code: | 736454522 |
| Phone Number: | 5804140164 |
| Fax Number: | 5802251130 |
| NPI Enumeration Date: | 02/16/2010 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |