Individual
MRS. BRIANNA J. RODGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMHC, MHP
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499
(253) 620-5015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60430429
WA
101YM0800X
Mental Health Counselor
MC60239217
WA
101YM0800X
Mental Health Counselor
XL3481
ME
Other
Enumeration date
08/08/2012
Last updated
02/18/2014
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