Individual
HEIDI LYNN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACADC
Contact information
Practice address
847 PARKCENTRE WAY STE 3, NAMPA, ID 83651-1794
(208) 901-8192
Mailing address
6701 AIRPORT RD, NAMPA, ID 83687-8656
(208) 249-7894
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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