Doctor Name: | DEBORAH ANN ROGERS |
NPI Number: | 1275893612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LMHC |
License Number: | |
Business Practice Address: | 717 Rezanof Dr E Kodiak, AK - 996156416 |
Business Phone Number: | 9074812400 |
Business Fax Number: | 9074812419 |
Mailing Address: | 717 Rezanof Dr E, KODIAK |
State: | AK |
Postal Code: | 996156416 |
Phone Number: | 9074812400 |
Fax Number: | 9074812419 |
NPI Enumeration Date: | 05/19/2012 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |