Individual
MR. ANTHONY COLA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2730 WILSHIRE BLVD, STE. 630, SANTA MONICA, CA 90403-4743
(310) 840-7543
(310) 453-8837
Mailing address
1232 HARVARD ST, #6, SANTA MONICA, CA 90404-1561
(310) 453-8837
(310) 453-8837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0449964
MENTAL HEALTH NETWORK
CA
Enumeration date
10/11/2006
Last updated
07/08/2007
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