Individual
MR. PAUL PROCTOR ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2638 TWO NOTCH RD, 106, COLUMBIA, SC 29204-1432
(803) 779-2910
Mailing address
155 WEST CT, COLUMBIA, SC 29212-2418
(803) 463-6634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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