Individual
DOROTHY ELIZABETH ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2525 S 3RD ST W, MISSOULA, MT 59804-1328
(406) 396-3500
Mailing address
2525 S 3RD ST W, MISSOULA, MT 59804-1328
(406) 396-3500
(406) 258-0634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
656LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503711
—
MT
01
—
71125
BCBS MT
MT
Enumeration date
06/06/2006
Last updated
07/31/2015
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