Organization
BRANDY ROGERS, LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY ROGERS (SOLE MEMBER)
(207) 749-4620
Entity
Organization
Contact information
Practice address
110 SACO FALLS WAY, BIDDEFORD, ME 04005-2083
(207) 749-4620
Mailing address
110 SACO FALLS WAY, BIDDEFORD, ME 04005-2083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4815
ME
101YP2500X
Professional Counselor
Primary
CC4011
ME
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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