Individual
JONI LYNN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
74 DOWD RD, BANGOR, ME 04401-6700
(207) 947-6800
(207) 947-6872
Mailing address
74 DOWD RD, BANGOR, ME 04401-6700
(207) 947-6800
(207) 947-6872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4157
ME
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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