Organization
ADAM ROGERS COUNSELING LLC
Active
Other names
Mariposa Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ROGERS LISAC (PROVIDER/OWNER)
(928) 830-1401
Entity
Organization
Contact information
Practice address
12075 E HIGHWAY 69 STE A, DEWEY, AZ 86327-4517
(928) 830-1401
(928) 447-9911
Mailing address
13110 E PONCE ST, DEWEY, AZ 86327-7161
(928) 830-1401
(928) 447-9911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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