Individual
DR. ROE A RODGERS-BONACCORSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC, LCPC
Contact information
Practice address
975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3917
(410) 535-5400
(410) 535-0736
Mailing address
8930 STANFORD BLVD., COLUMBIA, MD 21045
(410) 313-6202
(410) 313-6212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA375
MD
Other
Enumeration date
03/23/2009
Last updated
10/31/2014
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