Individual
HEATHER ROGERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, REV. (LPC), PCA
Contact information
Practice address
990 NORTHPOINTE DR, MOUNTAIN HOME, AR 72653-8126
(202) 505-9992
Mailing address
990 NORTHPOINTE DR, MOUNTAIN HOME, AR 72653-8126
(202) 505-9992
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2551489
AR
101YM0800X
Mental Health Counselor
2551489
AR
101YP1600X
Pastoral Counselor
2551489
AR
101YP2500X
Professional Counselor
2551489
AR
106S00000X
Behavior Technician
ST-390200000X
—
251B00000X
Case Management Agency
—
—
3747P1801X
Personal Care Attendant
85911320200809
MI
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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