Individual
MRS. DONNA MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
817 W FRONT ST, LILLINGTON, NC 27546-9735
(910) 814-2197
(910) 814-2167
Mailing address
7215 OLD US 421, LILLINGTON, NC 27546-9254
(910) 658-5592
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9684
NC
101YM0800X
Mental Health Counselor
9684
NC
101YP2500X
Professional Counselor
Primary
9684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006249
—
NC
Enumeration date
09/23/2012
Last updated
03/16/2015
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