| Doctor Name: | REBECCA A ROGERS |
| NPI Number: | 1730360975 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MH COUNSELOR |
| License Number: | AMF06116104 |
| Business Practice Address: | 565 Clover Dr Upper Lake, CA - 954859233 |
| Business Phone Number: | 7072759555 |
| Business Fax Number: | 7072759555 |
| Mailing Address: | 565 Clover Dr, UPPER LAKE |
| State: | CA |
| Postal Code: | 954859233 |
| Phone Number: | 7072759555 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | AMF06116104 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |