Individual
ALISCHA IESCHA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
301 MCCULLOUGH DR, 4TH FLOOR, CHARLOTTE, NC 28262-3310
(704) 909-2757
Mailing address
2538 PIMPERNEL RD, CHARLOTTE, NC 28213-9235
(704) 953-5875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139XC
BLUE CROSS BLUE SHIELD
NC
05
—
6102732
—
NC
Enumeration date
12/06/2006
Last updated
05/04/2009
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