Individual
DAVID ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
156 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 467-7654
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-4431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10176
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-37559
ID
Other
Enumeration date
10/02/2013
Last updated
11/28/2023
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