| NPI | 1790228187 |
|---|---|
| Other Name | ANGIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 262003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 256578) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2022-12-27 |