Individual
CAITLIN ALYS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP-T CO61285861
Contact information
Practice address
727 N TOWER AVE, CENTRALIA, WA 98531-4754
(360) 764-9507
Mailing address
PO BOX 144, CENTRALIA, WA 98531-0144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61285861
WA
Other
Enumeration date
03/23/2022
Last updated
04/16/2026
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