Individual
PAMELA ANNE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4011 BARBARA LOOP SE, SUITE 103, RIO RANCHO, NM 87124-1039
(505) 891-1583
(505) 891-1768
Mailing address
159 CALLE OJO FELIZ, UNIT H, SANTA FE, NM 87505-5740
(505) 660-0443
(505) 983-6492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0089251
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06763
LOVELACE HEALTH PLAN
NM
Enumeration date
11/01/2006
Last updated
07/08/2007
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