Organization
GERALD ROGERS, M.A., M.S.W., PH.D., P.A.
Active
Other names
West Pines on Golden Pond
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD W ROGERS LCSW, LPC (OWNER)
(806) 354-9996
Entity
Organization
Contact information
Practice address
7480 GOLDEN POND PL, SUITE 400, AMARILLO, TX 79121-1962
(806) 354-9996
(806) 354-9995
Mailing address
PO BOX 50660, AMARILLO, TX 79159-0660
(806) 354-9996
(806) 354-9991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2622
TX
1041C0700X
Clinical Social Worker
Primary
00732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064242301
—
TX
01
—
122754101
FIRST CARE
TX
01
—
154282
VALUE OPTIONS
TX
Enumeration date
10/05/2009
Last updated
10/05/2009
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