NPI | 1700227642 |
---|---|
Former Name | HEIDI NORINE ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 12-06-84) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 010737) |
101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I002532) | |
175T00000X Peer Specialist (Licence: OR 17-CRM-193) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2022-10-27 |