Individual
DEBRA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPAT, LPCC
Contact information
Practice address
3214 PURDUE PL NE, ALBUQUERQUE, NM 87106-2124
(505) 453-0098
(505) 452-9503
Mailing address
2500 LOS PINOS RD SW, ALBUQUERQUE, NM 87105-6725
(505) 453-0098
(505) 452-9503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2986
NM
101YP2500X
Professional Counselor
Primary
66642
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07304536
DOH DD WAIVER
NM
05
—
18236219
—
NM
01
—
22586
LOVELACE HEALTH PLAN
NM
01
—
NM202657
VALUE OPTIONS
NM
Enumeration date
09/20/2006
Last updated
07/09/2007
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