Individual
TAMMY L. RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(888) 924-3786
Mailing address
71 KIRKWOOD DR., CLINTON, IL 61727
(217) 935-7590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.002087
IL
101YP2500X
Professional Counselor
180-002087
IL
Other
Enumeration date
03/09/2007
Last updated
09/24/2020
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