Individual
BEVERLY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, PH.D.
Contact information
Practice address
6412 BANNINGTON RD, CHARLOTTE, NC 28226-1327
(704) 364-9176
Mailing address
1206 JULES CT, CHARLOTTE, NC 28226-8908
(704) 364-9175
(704) 366-0729
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 427
NC
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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