| Doctor Name: | MR. DALE D RODGERS |
| NPI Number: | 1740461631 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CDP |
| License Number: | CP00001038 |
| Business Practice Address: | 1203 Prosser Ave Prosser, WA - 993501430 |
| Business Phone Number: | 5095445726 |
| Business Fax Number: | |
| Mailing Address: | 3918 W Court St, PASCO |
| State: | WA |
| Postal Code: | 993012775 |
| Phone Number: | 5095478441 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2007 |
| NPI Last Update Date: | 11/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00001038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |