Individual
LISA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
(206) 323-0933
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60144525
WA
Other
Enumeration date
05/28/2014
Last updated
03/02/2020
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