Individual
DWAYNE CALVIN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3530 E FLAMINGO RD STE 100, LAS VEGAS, NV 89121-5091
(702) 816-3400
(702) 816-3403
Mailing address
3530 E FLAMINGO RD STE 100, LAS VEGAS, NV 89121-5091
(702) 856-6785
(702) 816-3403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MI1174
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275192478
—
NV
01
—
MI1174
MARRIAGE AND FAMILY INTERN NUMBER
NV
Enumeration date
06/11/2019
Last updated
08/05/2020
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