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Individual

DEBORAH ANN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMHC

Contact information

Practice address
1813 W HARVARD AVE STE 427, ROSEBURG, OR 97471
(541) 817-5326
(800) 864-2539
Mailing address
1813 W HARVARD AVE STE 427, ROSEBURG, OR 97471-8712
(541) 817-5326
(800) 864-2539

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
LH 60275886
WA
101YP2500X
Professional Counselor
PCO P 933
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
05
500733657
OR
01
C4751
STATE OF OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
OR
01
LH60275886
WASHINGTON STATE DEPARTMENT OF HEALTH-MENTAL HEALTH COUNSELOR LICENSE
WA
01
PCOP933
STATE OF ALASKA-BOARD OF PROFESSIONAL COUNSELORS
AK
Enumeration date
05/19/2012
Last updated
09/20/2020
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