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Individual

HEIDI LYNN ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, ACADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13033
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
5085
ID
1041C0700X
Clinical Social Worker
Primary
8911164
ID

Other

Enumeration date
07/17/2019
Last updated
12/05/2025
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