Individual
CAMILLA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
229 YOUNG ST, HENDERSON, NC 27536-4250
(252) 432-1915
Mailing address
229 YOUNG ST, HENDERSON, NC 27536-4250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107153
—
NC
Enumeration date
01/03/2007
Last updated
03/16/2026
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