Doctor Name: | ASHLEY DAWN ROGERS |
NPI Number: | 1679842421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSW |
License Number: | 261Q00000X |
Business Practice Address: | 201 S Murray St Tishomingo, OK - 734602224 |
Business Phone Number: | 5803710321 |
Business Fax Number: | |
Mailing Address: | 201 S Murray St, TISHOMINGO |
State: | OK |
Postal Code: | 734602224 |
Phone Number: | 5803710321 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2011 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 261Q00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |