Individual
MARY ELIZABETH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MAC
Contact information
Practice address
1340 CELEBRATION BLVD, SUITE A, FLORENCE, SC 29501
(843) 536-1180
Mailing address
1340 CELEBRATION BLVD, FLORENCE, SC 29501-5585
(843) 536-1180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
5570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1294
—
SC
Enumeration date
02/03/2013
Last updated
07/31/2018
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