Individual
MICHAEL RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3513 CAMDEN DR, LONGMONT, CO 80503-2156
(720) 629-5301
Mailing address
3513 CAMDEN DR, LONGMONT, CO 80503-2156
(720) 629-5301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA0008000
CO
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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